| Doctor Name: | MS. YVONNE SUSIE FOOTMAN |
| NPI Number: | 1437115433 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNP, MSN |
| License Number: | OB349 |
| Business Practice Address: | 721 Okatie Hwy Okatie, SC - 29909 |
| Business Phone Number: | 8439877400 |
| Business Fax Number: | 8439877484 |
| Mailing Address: | 11 Tom Polite Dr, SAINT HELENA ISLAND |
| State: | SC |
| Postal Code: | 299206217 |
| Phone Number: | 8438382002 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 05/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | OB349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |