Haddad, Mary

Haddad, Mary is an individual health care provider with primary practice located at 250 North Grove Medical Park Dr , Spartanburg SC 29303-4222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Haddad, Mary can be contacted via phone (864) 208-2345.

Contact Information

Primary practice address
250 North Grove Medical Park Dr Spartanburg SC 29303-4222
Fax: (864) 208-2366
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16992 South Carolina

Profile Details

NPI number 1598722290
LBN Legal business name Haddad, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 14th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598722290 NPPES
South Carolina MEDICAID 169926

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