Sussman, Phillip

Sussman, Phillip is an individual health care provider with primary practice located at 8004 Myrtle Trace Dr Ste 200, Conway SC 29526-8945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Sussman, Phillip can be contacted via phone (843) 347-8041.

Contact Information

Primary practice address
8004 Myrtle Trace Dr Ste 200 Conway SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 92685 South Carolina

Profile Details

NPI number 1619325644
LBN Legal business name Sussman, Phillip
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated Nov 21st, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619325644 NPPES
South Carolina MEDICAID 926859

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