Individual
SUNITA DIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303-4208
(645) 606-8448
(864) 560-7015
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
85308
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853080
—
SC
01
—
SCL2303365
MEDICARE PIN
SC
Enumeration date
06/27/2016
Last updated
10/15/2021
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