Start, Susan Jo

Start, Susan Jo is an individual health care provider with primary practice located at 1698 Highway 160 W Suite 220, Fort Mill SC 29708-8032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Start, Susan Jo can be contacted via phone (803) 802-5900.

Contact Information

Primary practice address
1698 Highway 160 W Suite 220 Fort Mill SC 29708-8032
Phone: (803) 802-5900
Fax: (803) 802-7101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22022 South Carolina

Profile Details

NPI number 1972536878
LBN Legal business name Start, Susan Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1972536878 NPPES
South Carolina MEDICAID 220228
South Carolina Other 067TP

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