Individual provider · Type 1 NPI

Susan Marie Kaminski, PA-C

Medical Physician Assistant · Conway, SC

NPI number 1619004801 Active

Practice location

1113 Church St
Conway, SC 29526-4128

Call (843) 248-6269 Map

Fax (843) 248-0535

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice locations

  • 1221 21st Ave N, Myrtle Beach, SC 29577-7402 · (843) 626-9379

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XMA 002171-L (PA)
Medical Physician Assistant Primary 363AM0700X3312 (SC)
Physician Assistant 363A00000X3312 (SC)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1619004801

Susan Marie Kaminski, PA-C's National Provider Identifier is 1619004801, issued on Feb 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Conway, SC. The record was last updated on Nov 3, 2024.