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1972370641
SUSAN SHEPPARD-CAROLINA
GEORGETOWN, SC
NPI
1972370641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: SC 28125)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
SUSAN SHEPPARD-CAROLINA
102 S MERRIMAN RD
GEORGETOWN, SC 29440-3459
Phone number: 843-833-8113
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Mailing Address
SUSAN SHEPPARD-CAROLINA
669 CORNER LOOP
GEORGETOWN, SC 29440-5493
Phone number: 843-240-0568
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