Individual
DR. WALTER JOHN SUBER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 2150, GREER, SC 29650-4902
(864) 288-8118
(864) 288-8113
Mailing address
2755 S HIGHWAY 14, SUITE 2150, GREER, SC 29650-4902
(864) 288-8118
(864) 288-8113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21476
LICENSE
SC
05
—
214761
—
SC
01
—
571106965
TAX ID
SC
Enumeration date
02/01/2007
Last updated
03/03/2011
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