Breazeale, Susan V.
Breazeale, Susan V. is an individual health care provider with primary practice located at 220 Keowee Trl , Clemson SC 29631-1448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Breazeale, Susan V. can be contacted via phone (864) 653-4071.Contact Information
Primary practice address
220 Keowee Trl
Clemson SC 29631-1448
Phone: (864) 653-4071
Fax: (864) 653-4074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 1711 | South Carolina |
Profile Details
| NPI number | 1366642019 |
|---|---|
| LBN Legal business name | Breazeale, Susan V. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Feb 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366642019 | NPPES |
| South Carolina | MEDICAID | GP3805 |
Popular Providers
-
Rorick, Mark B
13170 Ravenna Rd Ste 102 , Chardon OH 44024-7022 -
Montejo, Raul Edward
2401 Frist Blvd Ste 2B , Fort Pierce FL 34950-4800 -
Agner, Celso
1625 Se 3Rd Avenue Suite 623, Fort Lauderdale FL 33316-2521 -
Kazi, Amer M.
6915 N Fir Rd , Granger IN 46530-4754 -
Baxley, George Timothy
220 Keowee Trl , Clemson SC 29631-1448 -
Hall, Scott
1305 Airport Fwy Ste 205, Bedford TX 76021-6606 -
Huffnagle, Vera H
758 Highway 46 S , Dickson TN 37055-2556 -
Sarayusa, Adam Bayne
101 Chapman Hill Rd Ste 101 , Clemson SC 29631-2194