DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY KAYE FAVARO, M.D.

Active Sole Proprietor

DR. MARY KAYE FAVARO, M.D. is a Family Medicine healthcare provider located in SURFSIDE BEACH, South Carolina. NPI 1043326036 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SURFSIDE BEACH, SC

Registration Details

NPI Number
1043326036
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2006 (19.963683044323 yrs)
Last Updated
Jul 8, 2007
Licenses
6170 (SC)
17183 (WI)
Sole Proprietor
Yes

Practice Information

Address
1407 SOUTHWOOD DR
SURFSIDE BEACH, SC, 295755365
Browse SC providers · Browse ZIP 29575
Phone
8432156992
Fax
8432159409
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SURFSIDE BEACH, SC

Name Credential NPI
DR. DAN MUNTEAN MD 1164413761
DR. MARK A GAUTHIER MD 1467498709
MRS. SUSAN EDWARDS SURRATT FNP 1710996459
MR. JAMES MARVIN VEST M.D. 1780697151
TIFFANY VINSON MD 1336522648
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.