Susac-Pavic, Stela

Susac-Pavic, Stela is an sole proprietor health care provider with primary practice located at 1305 Horseshoe Bnd , Mt Pleasant SC 29464-7406. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Susac-Pavic, Stela can be contacted via phone (843) 501-2031.

Contact Information

Primary practice address
1305 Horseshoe Bnd Mt Pleasant SC 29464-7406
Phone: (843) 501-2031
Fax: (843) 884-6146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01577 North Carolina
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 35609 South Carolina

Profile Details

NPI number 1528288560
LBN Legal business name Susac-Pavic, Stela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 7th, 2023 - about 3 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 1528288560 NPPES
North Carolina Other 01577 MEDICAL LICENSE
North Carolina MEDICAID 356091 MEDICAL LICENSE
North Carolina Other 35609 MEDICAL LICENSE

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