Individual
STELA SUSAC-PAVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 TRADITION CIR, MT PLEASANT, SC 29466-7200
(843) 501-2031
(843) 884-6146
Mailing address
3100 TRADITION CIR, MT PLEASANT, SC 29466-7200
(843) 501-2031
(843) 884-6146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01577
NC
207QA0505X
Adult Medicine Physician
Primary
35609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01577
MEDICAL LICENSE
NC
01
—
35609
SOUTH CAROLINA MEDICAL LICENCE
SC
05
—
356091
—
SC
Enumeration date
05/01/2007
Last updated
08/04/2025
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