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Contact Information

LARA MAE H HUBER, MD
200 PATEWOOD DR
SUITE A200
GREENVILLE, SC29615-3593
 Phone: 864-454-5004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rheumatology

2080P0216X 37 Physician/Pediatric Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LARA MAE H HUBER · (Female)

NPI # 1427253897
Status Active
Credentials MD
Entity Individual
Enumeration date 06/18/2007
Last updated 05/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 29948
  • SC Medicaid 299484
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • PATEWOOD MEMORIAL HOSPITAL - (Acute Care)
    175 PATEWOOD DRIVE
    GREENVILLE, SC 29615
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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