DOMENIC J DEMICHELE,MD,PC

FLORENCE, SC
NPI1699960054
Entity TypeOrganization
Authorized ContactDOMENIC J DEMICHELE
Owner
843-669-1615
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: SC  15062)
Enumeration Date2007-09-10
Last Update Date2007-09-12
Business Address
DOMENIC J DEMICHELE,MD,PC
125 S CASHUA DR SUITE A
FLORENCE, SC 29501-4001
Phone number: 843-669-1615
Mailing Address
DOMENIC J DEMICHELE,MD,PC
125 A CASHUA DR
FLORENCE, SC 29501
Phone number: 843-669-1615
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