DOMENIC J DEMICHELE,MD,PC
Managed Care Organizations at Cashua Dr, Florence, SC

License number
South Carolina 15062
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. DOMENIC J DEMICHELE M.D., PH.D.
Title: OWNER
Phone: (843) 669-1615
Address
Address
125 S Cashua Dr SUITE A, Florence, SC 29501
National Provider ID: 1699960054
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DOMENIC J DEMICHELE,MD,PC at bizstanding.com

DOMENIC J. DEMICHELE, M.D., PROFESSIONAL CORPORATION

518 Irby St, Florence, SC 29501

Status:
Inactive
Registration:
Jan 10, 1994
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
09/20/2010
Agent:
Domenic J Demichele

Managed Care Organizations licenses in South Carolina






Other Doctors licenses in South Carolina