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2554 W Palmetto St, Florence, SC 29501-5990 | |
(843) 662-2110 | |
(843) 662-1991 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 2554 W Palmetto St, Florence, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235185943 | NPI | - | NPPES |
CH2537 | Medicaid | SC | |
GCH345/GCH450 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Michael Stephen Ferrigno |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1659330421 PECOS PAC ID: 6800869728 Enrollment ID: I20040818000182 |
Provider Name | Michelle L B Ferrigno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336113935 PECOS PAC ID: 0749228799 Enrollment ID: I20050420000519 |
Mailing Address | Practice Location Address |
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2554 W Palmetto St, Florence, SC 29501-5990 Ph: (843) 662-2110 | 2554 W Palmetto St, Florence, SC 29501-5990 Ph: (843) 662-2110 |