Individual
MRS. SUSAN ANN BISSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6515
(843) 805-5790
Mailing address
22 SHORT ST, CHARLESTON, SC 29401-1908
(843) 723-2970
(843) 805-5790
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN43
SC
Other
Enumeration date
07/23/2006
Last updated
07/09/2007
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