Carmen Michael Piccolo III
Vascular Surgeon
101 S Ravenel St Suite 230
Florence
, South Carolina 29506-2618
Carmen Michael Piccolo III
Vascular Surgeon
101 S Ravenel St Suite 230
Florence
, South Carolina 29506-2618
(843) 777-7102
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Carmen Michael Piccolo III
- Po Box 3239
- Florence, SC
- Zip : 29502-3239
- Fax : (843) 777-7102
- Phone : (843) 777-7120
Second Address
- Carmen Michael Piccolo III
- 101 S Ravenel St Suite 230
- Florence, SC
- Zip : 29506-2618
- Fax : (843) 777-7041
- Phone : (843) 777-7043
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 37657 | SC |
National Provider Identifier
| NPI | 1073826624 |
|---|---|
| Provider Name | Carmen Michael Piccolo III |
| First Address | Florence, SC 29502-3239 |
| Second Address | Florence, SC 29506-2618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2010 |
| Last Update Date | 15/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.