| London Judith Miccichi, PA-C | |
|
180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811 | |
| (843) 884-5101 | |
| (843) 606-7997 |
| Full Name | London Judith Miccichi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 180 Wingo Way Ste 207, Mount Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861115313 | NPI | - | NPPES |
| 5930PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4588 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| London Judith Miccichi, PA-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | London Judith Miccichi, PA-C 180 Wingo Way Ste 207, Mount Pleasant, SC 29464-1811 Ph: (843) 884-5101 |
Ashley Curtis Sundberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 Fax: 843-388-6937 | |
Larisa Baldwin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1841 Old Georgetown Road, Mount Pleasant, SC 29464 Phone: 843-216-4844 | |
Anna Mccrosson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2749 Fountainhead Way, Mount Pleasant, SC 29466 Phone: 843-670-4756 | |
Sydney Elizabeth Winn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2755 Christ Church Ct, Mount Pleasant, SC 29466 Phone: 843-276-9331 | |
Mrs. Lynden Maureen Pelbath, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 Fax: 843-388-6937 | |
Madison Baker, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 631 Johnnie Dodds Blvd, Mount Pleasant, SC 29464 Phone: 843-881-0815 | |
Elizabeth J Veronee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1241 Woodland Ave, Mount Pleasant, SC 29464 Phone: 843-824-0606 Fax: 843-824-0909 |