Individual
SUSAN MBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
(864) 833-9458
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6294
(803) 774-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-02917
NC
208M00000X
Hospitalist Physician
2022-02917
NC
208M00000X
Hospitalist Physician
Primary
83012
SC
Other
Enumeration date
06/08/2015
Last updated
03/15/2024
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