Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ANTHONY MICOLUCCI, MD
ActiveMARK ANTHONY MICOLUCCI, MD is a Family Medicine healthcare provider located in TRAVELERS REST, South Carolina. NPI 1336633114 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TRAVELERS REST, SC
Registration Details
- NPI Number
- 1336633114
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2018 (8.1567410233795 yrs)
- Last Updated
- Aug 31, 2021
- Licenses
-
LL52497 (SC)52497 (SC)
Practice Information
- Address
-
9 MCELHANEY RDTRAVELERS REST, SC, 296901734Browse SC providers · Browse ZIP 29690
- Phone
- 8648343192
- Fax
- 8642419234
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TRAVELERS REST, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES PORTER MAC MILLAN | DO | 1194797290 |
| DR. ALBERT CHARLES MINA | MD | 1073585873 |
| DR. FITZWILLIAM WORCESTER KING | MD | 1649242439 |
| DR. GLENN T BROTHERS | DO | 1871549055 |
| JAMES BOULWARE GETTYS | M.D. | 1912940586 |
| RICKY GARLAND DAVIDSON | MD | 1942246707 |
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.