MANUEL ANTONIO FONSECA

FLORENCE, SC
NPI1790769396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  0419)
Enumeration Date2005-12-06
Last Update Date2025-01-28
Business Address
Dr. MANUEL ANTONIO FONSECA DO
1925 HOFFMEYER RD
FLORENCE, SC 29501-4011
Phone number: 843-679-4214
Mailing Address
Dr. MANUEL ANTONIO FONSECA DO
PO BOX 23321
NEW YORK, NY 10087-3321
Phone number: 843-679-4214