Dr. Susan Marie Datta, M.D.
Internal Medicine in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1528144151
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1528144151
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Marie Datta
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2006
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 27018 | SC | Yes |
| 207R00000X | Internal Medicine | LL27018 | SC |
Practice location
180 Wingo WaySuite 306
Mt Pleasant, SC 29464-1810
Phone 843-884-1777
Mailing address
Po Box 751649Charlotte, NC 28275-1649
Phone 888-472-0043 · Fax 843-724-2440
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