Individual
MRS. SUSANNE T BAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1680B RIBAUT RD, PORT ROYAL, SC 29935-2008
(843) 521-9879
Mailing address
1109 LAUREL ST, PORT ROYAL, SC 29935-1911
(843) 271-2713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 2105
SC
Other
Enumeration date
08/09/2005
Last updated
02/18/2014
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