Individual
DR. SUSAN B LUBEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 LANDMARK DRIVE, SUITE 300, COLUMBIA, SC 29204-4034
(803) 898-1470
(803) 898-1471
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12414
SC
2080C0008X
Child Abuse Pediatrics Physician
Primary
12414
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124145
—
SC
Enumeration date
07/03/2006
Last updated
03/23/2018
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