| Marc Joseph Fawal, MD | |
|
302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 | |
| (843) 549-9568 | |
| (843) 549-1530 |
| Full Name | Marc Joseph Fawal |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 9 Years |
| Location | 302 Medical Park Dr Ste 211, Walterboro, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 85140 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396981403 PECOS PAC ID: 3072425297 Enrollment ID: O20050928000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Joseph Fawal, MD 302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 Ph: (843) 549-9568 | Marc Joseph Fawal, MD 302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 Ph: (843) 549-9568 |
Dr. Riddick Ackerman Iii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 Constance St, Walterboro, SC 29488 Phone: 843-549-9568 Fax: 843-549-1530 | |
Angela Cowart Fisher, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 Constance St, Walterboro, SC 29488 Phone: 843-549-9568 Fax: 843-549-1530 | |
Dr. Trent Edward Cannon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 Constance St, Walterboro, SC 29488 Phone: 843-549-9568 Fax: 843-549-1530 |