Individual
MARITERE NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-8972
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39730
SC
208000000X
Pediatrics Physician
LL39730
SC
Other
Enumeration date
06/13/2016
Last updated
07/01/2019
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