Individual
SUSAN SHEPPARD-CAROLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S MERRIMAN RD, GEORGETOWN, SC 29440-3459
(843) 833-8113
Mailing address
669 CORNER LOOP, GEORGETOWN, SC 29440-5493
(843) 240-0568
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28125
SC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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