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Individual

SUSAN C SCOUTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC, FNP

Contact information

Practice address
545 SUMTER HWY, BISHOPVILLE, SC 29010-7601
(803) 484-5317
(803) 484-4533
Mailing address
13 TETON RD, SUMTER, SC 29154-4659
(803) 469-9819

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 213
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FNP002
SC
01
P00906566
RAILROAD MEDICARE PTAN
SC
Enumeration date
11/10/2005
Last updated
04/28/2011
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