Kandis G Wilcox MD

NPI 1073559977 - Anesthesiology - 207L00000X

NPI Details
NPI 1073559977
Gender Male
Enumeration Date 06/21/2006
Last Updated 12/25/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 JOHNNIE DODDS BLVD
MOUNT PLEASANT SC, 29464-3231, US
Phone (843) 881-4323
Fax
Business Location
744 W MICHIGAN AVE
JACKSON MI, 49201-1909, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 207L00000X
License State South Carolina
License Number 23640
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According to our database, Kandis G Wilcox MD NPI is 1073559977, taxonomy code is 207L00000X and license number is 23640, license state is located at South Carolina. Kandis G Wilcox MD physically located at 1200 Johnnie Dodds Blvd, Mount Pleasant SC, 29464-3231. NPI Number Kandis G Wilcox MD has the Individual type.

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1073559977 NPI number is provided on an as is basis without warranty of any kind. 1073559977 is maintained by the National Plan & Provider Enumeration System. The contents of Kandis G Wilcox MD are for informational purposes only.