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Contact Information

SUZAN BEATTIE
431 MEADOWLARK ST
SHAW AFB, SC29152-5019
 Phone: 803-895-6199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for SUZAN BEATTIE · (Female)

NPI # 1043626492
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2014
Last updated 07/22/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # C0100286
  • NC License # P008804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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