| London Judith Miccichi, PA-C | |
|
180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811 | |
| (843) 884-5101 | |
| Not Available |
| Full Name | London Judith Miccichi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 180 Wingo Way Ste 207, Mount Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861115313 | NPI | - | NPPES |
| 5930PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4588 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| London Judith Miccichi, PA-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | London Judith Miccichi, PA-C 180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811 Ph: (843) 884-5101 |
Ashley Curtis Sundberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 Fax: 843-388-6937 | |
Madison Baker, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 631 Johnnie Dodds Blvd, Mount Pleasant, SC 29464 Phone: 843-881-0815 | |
Elizabeth J Veronee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1241 Woodland Ave, Mount Pleasant, SC 29464 Phone: 843-824-0606 Fax: 843-824-0909 | |
Hollen Alexa Davinsizer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 Hungryneck Blvd Ste D, Mount Pleasant, SC 29464 Phone: 843-884-1876 | |
Christine Noel Lyles, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 631 Johnnie Dodds Blvd, Mount Pleasant, SC 29464 Phone: 843-881-0815 Fax: 843-881-0743 | |
Caitlin Reveal, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1122 Chuck Dawley Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-884-8045 | |
Ryan Trout, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 612 Seacoast Pkwy, Mount Pleasant, SC 29464 Phone: 843-881-4440 |