Doctor Name: | SUSAN C SCOUTEN |
NPI Number: | 1912988411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC, FNP |
License Number: | APRN 213 |
Business Practice Address: | 545 Sumter Hwy Bishopville, SC - 290107601 |
Business Phone Number: | 8034845317 |
Business Fax Number: | 8034844533 |
Mailing Address: | 13 Teton Rd, SUMTER |
State: | SC |
Postal Code: | 291544659 |
Phone Number: | 8034699819 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 04/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APRN 213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |