MANUEL ANTONIO FONSECA

FLORENCE, SC
NPI1790769396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: SC  419)
Enumeration Date2005-12-06
Last Update Date2013-12-09
Business Address
Dr. MANUEL ANTONIO FONSECA DO
805 PAMPLICO HWY
FLORENCE, SC 29505-6047
Phone number: 843-674-5143
Mailing Address
Dr. MANUEL ANTONIO FONSECA DO
947 S IRBY ST
FLORENCE, SC 29501-5238
Phone number: 843-674-5143