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
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 28125 (SC) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Georgetown
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.