Individual provider · Type 1 NPI

Susan Sheppard-Carolina

Primary Care Nurse Practitioner · Georgetown, SC

NPI number 1972370641 Active

Practice location

102 S Merriman Rd
Georgetown, SC 29440-3459

Mailing address

669 Corner Loop
Georgetown, SC 29440-5493

Other practice locations

  • 329 Circle Dr, Georgetown, SC 29440-1300 · (843) 436-1213

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X28125 (SC)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1972370641

Susan Sheppard-Carolina's National Provider Identifier is 1972370641, issued on Dec 4, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Georgetown, SC. The record was last updated on Dec 4, 2023.