Mr. Walter J Suber SR.
Foot Surgery
514 S Dargan St Ste F
Florence
, South Carolina 29506-2552
Mr. Walter J Suber SR.
Foot Surgery
514 S Dargan St Ste F
Florence
, South Carolina 29506-2552
(843) 662-6720
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Mr. Walter J Suber SR.
- Po Box 12407
- Florence, SC
- Zip : 29504-2407
- Fax : (843) 662-6720
- Phone : (843) 662-6781
Second Address
- Mr. Walter J Suber SR.
- 514 S Dargan St Ste F
- Florence, SC
- Zip : 29506-2552
- Fax : (843) 662-6720
- Phone : (843) 662-6781
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Is Mr. Walter J Suber SR. a sole practitioner?
Is Mr. Walter J Suber SR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 00036 | SC |
National Provider Identifier
| NPI | 1174526461 |
|---|---|
| Provider Name | Mr. Walter J Suber SR. |
| First Address | Florence, SC 29504-2407 |
| Second Address | Florence, SC 29506-2552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 23/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 480026354 | R.R. MEDICARE (01) | SC |
| PDO369 | (05) | SC |
| U25104 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.