Grosslight, Susan Hammond
Grosslight, Susan Hammond is an sole proprietor health care provider with primary practice located at 880 W Moultrie St Suite 200, Winnsboro SC 29180-2411. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / College Health, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Grosslight, Susan Hammond can be contacted via phone (803) 635-6461.Contact Information
Primary practice address
880 W Moultrie St Suite 200
Winnsboro SC 29180-2411
Phone: (803) 635-6461
Fax: (803) 635-4200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / College Health | 163WC1400X | R41098 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17725 | South Carolina |
Profile Details
| NPI number | 1821100835 |
|---|---|
| LBN Legal business name | Grosslight, Susan Hammond |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 22nd, 2023 - about last year |
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 | 1821100835 | NPPES |
| South Carolina | MEDICAID | NP2030 |
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