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Individual

SUSAN MARIE DEMARTINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
(315) 464-7619

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
267609
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
83775
SC
2080P0205X
Pediatric Endocrinology Physician
0101243923
VA
2080P0205X
Pediatric Endocrinology Physician
267609
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03631981
NY
05
837759
SC
Enumeration date
05/02/2007
Last updated
05/05/2022
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