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NPI Code Detail

MEDICARE: SUE CLAWSON CRNA

MEDICARE: SUE CLAWSON CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPRN189SC

General Provider Information

NPI Number : 1063443406
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE CLAWSON CRNA
Provider Business Mailing Address
First Line : 1866 FRIARS COURT
Second Line :
City : LANCASTER
State : CA
Zip : 29720
Country : US
Telephone Number : 803-285-5917
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL PARK DR
Second Line :
City : CHESTER
State : SC
Zip : 29706-9769
Country : US
Telephone Number : 803-581-3151
Fax Number : 803-581-3183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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Directions to “ SUE CLAWSON CRNA” Practice Location

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