| David Michael Mccance, Llc | |
|
9302 Medical Plaza Dr Suite B Charleston SC 29406-9142 | |
| (843) 553-8730 | |
| (843) 553-8767 |
| Full Name | David Michael Mccance, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9302 Medical Plaza Dr, Charleston, South Carolina |
| Authorized Official Name and Position | David Michael Mccance (OWNER-PRESIDENT) |
| Authorized Official Contact | 8435538730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Mccance, Llc 9302 Medical Plaza Dr Suite B Charleston SC 29406-9142 Ph: (843) 553-8730 | David Michael Mccance, Llc 9302 Medical Plaza Dr Suite B Charleston SC 29406-9142 Ph: (843) 553-8730 |
| NPI Number | 1912125212 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912125212 | NPI | - | NPPES |
| 111404919 | Medicaid | MI | |
| 1154600105 | Other | MI | BCBS |
| 1275639361 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | TL1233 (South Carolina) | Primary |
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