Individual provider · Type 1 NPI

Phillip Sussman, DO

Sports Medicine (Orthopaedic Surgery) Physician · Conway, SC

NPI number 1619325644 Active

Practice location

8004 Myrtle Trace Dr, Ste 200
Conway, SC 29526-8945

Call (843) 347-8041 Map

Fax (843) 347-8042

Mailing address

300 Singleton Ridge Rd, Attn Credentialing
Conway, SC 29526-9142

Other practice locations

1100 62nd Ave N, Myrtle Beach, SC 29572-7202 · (843) 347-8041
1413 Highway 17 N, Surfside Beach, SC 29575-6012 · (843) 347-8041
6010 Highway 707, Ste 300, Myrtle Beach, SC 29588-7321 · (843) 347-8041

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	92685 (SC)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

9 other providers at this address

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About NPI 1619325644

Phillip Sussman, DO's National Provider Identifier is 1619325644, issued on May 31, 2016. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Conway, SC. The record was last updated on Nov 21, 2025.