CARMINE SUPPA

CHARLESTON, SC
NPI1760800650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: SC  83194)
Enumeration Date2014-03-28
Last Update Date2020-10-23
Business Address
CARMINE SUPPA
171 ASHLEY AVE
CHARLESTON, SC 29425-3816
Phone number: 843-792-1414
Mailing Address
CARMINE SUPPA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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