Individual
DR. MAYTE L SANDRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
853 N CHURCH ST, SUITE 720, SPARTANBURG, SC 29303-3098
(864) 560-6419
(864) 560-7498
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
27758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277587
—
SC
05
—
5902164
—
NC
01
—
7750747
AETNA
SC
01
—
AA08773365
MEDICARE PIN
SC
01
—
AA08775019
MEDICARE PIN
SC
01
—
AA08775193
MEDICARE PIN
SC
01
—
AA08776066
MEDICARE PIN
SC
01
—
AA08776067
MEDICARE PIN
SC
01
—
E4390
MEDCOST
SC
01
—
SC3018J577
MEDICARE PIN
SC
Enumeration date
01/23/2006
Last updated
12/15/2020
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