| Mpa Ic Physicians | |
|
506 E Cheves St Suite 202 Florence SC 29506-2616 | |
| (843) 777-7000 | |
| (843) 777-7006 |
| Full Name | Mpa Ic Physicians |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 506 E Cheves St, Florence, South Carolina |
| Authorized Official Name and Position | Dane P. Ficco (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpa Ic Physicians Po Box 3239 Florence SC 29502-3239 Ph: (843) 777-7098 | Mpa Ic Physicians 506 E Cheves St Suite 202 Florence SC 29506-2616 Ph: (843) 777-7000 |
| NPI Number | 1114398377 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114398377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (South Carolina) | Primary |
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