Bradford, Susanne M.

Bradford, Susanne M. is an individual health care provider with primary practice located at 3510 N Highway 17 Ste 225 , Mt Pleasant SC 29466-8233. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bradford, Susanne M. can be contacted via phone (843) 884-0301.

Contact Information

Primary practice address
3510 N Highway 17 Ste 225 Mt Pleasant SC 29466-8233
Fax: (843) 606-8062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24063 South Carolina

Profile Details

NPI number 1831102417
LBN Legal business name Bradford, Susanne M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831102417 NPPES
South Carolina MEDICAID 240634

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