Individual
DR. SPENSER M STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-4074
Mailing address
169 ASHLEY AVENUE, MUSC GME OFFICE, ROOM 202, MUH, MSC 333, CHARLESTON, SC 29425
(843) 792-7365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL82915
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL82915
—
SC
Enumeration date
06/24/2019
Last updated
06/24/2019
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