NPI 1366642019 · live from the CMS NPI Registry
Susan V. Breazeale, APRN
Psychiatry & Neurology, Neurology in Clemson, SC. National Provider Identifier 1366642019, active.
NPI record
| NPI | 1366642019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 220 Keowee Trl, Clemson, SC 29631 |
| Practice phone | 864-653-4071 |
| Mailing address | Po Box 2089, Easley, SC 29641 |
| Enumerated | July 20, 2007 |
| Last updated | February 10, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1711 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.