Individual
MARCIA WENDY SUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, SUITE 200, GREENVILLE, SC 29605-4271
(864) 455-8431
(864) 455-8981
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26874
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268748
—
SC
01
—
P00343067
RR MEDICARE
SC
Enumeration date
12/06/2005
Last updated
04/19/2013
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