Healthcare Provider Details

I. General information

NPI: 1669387742
Provider Name (Legal Business Name): MERRITT S. HUBER, M.D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 OAKBROOK LN STE 295
SUMMERVILLE SC
29485-7538
US

IV. Provider business mailing address

201 OAKBROOK LN STE 295
SUMMERVILLE SC
29485-7538
US

V. Phone/Fax

Practice location:
  • Phone: 843-695-8128
  • Fax: 843-695-8129
Mailing address:
  • Phone: 843-695-8128
  • Fax: 843-695-8129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MERRITT STANLEY HUBER III
Title or Position: MD/OWNER
Credential: MD
Phone: 419-271-0360