Doctor Name: | DR. DIANAH VICTORIA MARABLE |
NPI Number: | 1467747113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | |
Business Practice Address: | 371 Whitney Rd Spartanburg, SC - 293033143 |
Business Phone Number: | 8645150485 |
Business Fax Number: | 8645150485 |
Mailing Address: | 16 Arcade Unit 198747, NASHVILLE |
State: | TN |
Postal Code: | 372191994 |
Phone Number: | 6157530343 |
Fax Number: | 6159861705 |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |