Mark Anthony Micolucci, MD
NPI #1336633114 in Travelers Rest, South Carolina
Provider Information
- NPI Number
- 1336633114
- Entity Type
- Individual
- Name
- Mark Anthony Micolucci, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 15, 2018
- Last Updated
- Aug 31, 2021
Practice Location
- Address
- 9 MCELHANEY RD
- City
- Travelers Rest
- State
- South Carolina
- ZIP Code
- 29690-1734
- Phone
- (864) 834-3192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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