DR. Mary Kaye Favaro, M.D.

NPI #1043326036 in Surfside Beach, South Carolina

Provider Information

NPI Number
1043326036
Entity Type
Individual
Name
DR. Mary Kaye Favaro, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Aug 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1407 SOUTHWOOD DR
ZIP Code
29575-5365
Phone
(843) 215-6992

Specialties & Taxonomy Codes

Specialty
Family Medicine

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