Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 23920 | SC |
N | 208600000X | Surgeon | 23920 | SC |
Y | 2086X0206X | Surgical Oncologist | 23920 | SC |
NPI | 1346280757 |
---|---|
Provider Name | Steven D Trocha |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G63670 | (02) | SC |
P00271212 | RR MEDICARE (01) | SC |
T84316 | (05) | SC |