SUSAN SCOTT CHURCH RN - NPI 1083251771 - Registered Nurse in Conway, SC

Q: What is Susan Church's NPI number?

The NPI number for Susan Church is 1083251771. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Susan Church's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Susan Church was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Susan Scott Church Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SCOTT CHURCH RN (NPI 1083251771) is an individual psychiatric/mental health provider in Conway, South Carolina, licensed in South Carolina (203948) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1083251771

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameSUSAN SCOTT CHURCHCredential: RN

Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903

Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903 · (843) 347-5060 · Fax (843) 347-3959

Phone(843) 347-5060

Fax(843) 347-3959

Sole ProprietorNo

Enumeration DateDecember 2, 2019

✔ NPI 1083251771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in SC · 203948

164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAWAN BINNETTA ALSTON

Counselor