Mary Detoma is a Charleston, South Carolina based nurse practitioner. Active license number of Mary Detoma is F245 in South Carolina. Her current practice location is 171 Ashley Ave, Charleston. Patients can reach her at 843-792-1414. Mary Detoma is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1225143761. Mary Detoma has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mary Detoma speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mary Detoma
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP
Practice Address:
171 Ashley Ave, Charleston, South Carolina, 29425-0001
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1225143761
NPI Enumeration Date:
21 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Detoma are as mentioned below.
License Number
Specialization
State
Status
F245
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Detoma such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NP0226
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Detoma Po Box 751461, Charlotte, North Carolina
Zip:
28275-1461
Phone Number:
843-792-6200
Patients can reach Mary Detoma at 171 Ashley Ave, Charleston, South Carolina or can call to book an appointment on 843-792-1414.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.