Whalio Doctors

NPI 1033118898

Otto C. Susec, MD

Practitioner Emergency Medicine Physician Myrtle Beach, SC

Practice location

Address
809 82nd Pkwy, Myrtle Beach, SC 29572-4607
Phone
(843) 497-5929
Fax
(843) 497-9940
Mailing address
5402 Pheasant Dr., N. Myrtle Beach, SC 29582

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 18388 (SC)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01065993A (IN)

Registry record

NPI
1033118898
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jul 2005
Record last updated
21 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.