Stela Susac-Pavic in North Charleston - Adult Medicine

Stela Susac-Pavic - NPI 1528288560

Stela Susac-Pavic is a Adult Medicine in North Charleston, South Carolina. Stela Susac-Pavic practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Stela Susac-Pavic is 1528288560. The last update date is 2023-03-07.

Stela Susac-Pavic's current location address is Po Box 41189, North Charleston, South Carolina. You can contact this provider via phone number 8435012031 and fax number 8438846146. The mailing address for Stela Susac-Pavic is Po Box 41189, North Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Stela Susac-Pavic
Address Po Box 41189, North Charleston, South Carolina
Phone Number 8435012031
Fax Number 8438846146
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528288560
Provider Enumeration Date 2007-05-01
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address Po Box 41189
City North Charleston
State South Carolina (SC)
Post Code 294231189
Phone Number 8435012031
Fax Number 8438846146

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No 35609
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1577 NC MEDICAL LICENSE
356091 SC --
35609 SC SOUTH CAROLINA MEDICAL LICENCE

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FAQs about Stela Susac-Pavic

What is the unique identifier code issued to Stela Susac-Pavic by the Centers for Medicare & Medicaid Services (CMS)?

The Stela Susac-Pavic has been assigned the NPI (National Provider Identifier) 1528288560. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Stela Susac-Pavic is physically located?

The Stela Susac-Pavic is physically situated at the following address: Po Box 41189, North Charleston, SC, 294231189.

What is Stela Susac-Pavic's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stela Susac-Pavic's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.

When was the Stela Susac-Pavic's 1528288560 issued?

The Stela Susac-Pavic's 1528288560 was issued on 2007-05-01.

As of what date was the information regarding Stela Susac-Pavic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stela Susac-Pavic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.

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