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Individual

SUZANNE DENISE KOVACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1650 SKYLYN DR STE 220, SPARTANBURG, SC 29307-1069
(864) 560-9056
(864) 560-9057
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4123

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20242
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110178290
RAILROAD MEDICARE
SC
05
202426
SC
01
P00386924
MEDICARE RAILROAD PTAN#
GA
01
SC37125019
MEDICARE PIN
SC
Enumeration date
05/22/2006
Last updated
03/14/2024
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