Footman, Yvonne Susie

Footman, Yvonne Susie is an individual health care provider with primary practice located at 719 Okatie Hwy , Okatie SC 29909-3963. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Footman, Yvonne Susie can be contacted via phone (843) 987-7400.

Contact Information

Primary practice address
719 Okatie Hwy Okatie SC 29909-3963
Phone: (843) 987-7400
Fax: (843) 987-7484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X OB349 South Carolina

Profile Details

NPI number 1437115433
LBN Legal business name Footman, Yvonne Susie
Credentials RNP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 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 1437115433 NPPES
South Dakota MEDICAID NP0423

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