Individual
DR. DEALVA TAUNDOLYN SUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-8062
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-8062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15386
SC
207RG0100X
Gastroenterology Physician
Primary
15386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153862
—
SC
Enumeration date
06/29/2006
Last updated
02/06/2017
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