IndividualActive
Phillip Sussman, DO
NPI 1619325644 · Sports Medicine (Orthopaedic Surgery) Physician · Conway, SC
Provider details
- NPI number
- 1619325644
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 92685 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8004 Myrtle Trace Dr
Ste 200
Conway, SC 29526-8945
Phone: (843) 347-8041
Fax: (843) 347-8042
Approximate (ZIP-level) locationGet directions
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Additional practice locations (3)
- 6010 Highway 707Ste 300Myrtle Beach, SC 29588-7321Phone: (843) 347-8041Fax: (843) 347-8042
- 1100 62nd Ave NMyrtle Beach, SC 29572-7202Phone: (843) 347-8041Fax: (843) 347-8042
- 1413 Highway 17 NSurfside Beach, SC 29575-6012Phone: (843) 347-8041Fax: (843) 347-8042
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.