Individual
DR. SUSAN MARIE DATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 WINGO WAY, SUITE 306, MT PLEASANT, SC 29464-1810
(843) 884-1777
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27018
SC
207R00000X
Internal Medicine Physician
LL27018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270183
—
SC
01
—
P00924682
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
10/27/2006
Last updated
05/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us