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MARK MICOLUCCI, MD
MD
Family Medicine Physician
NPI: 1336633114IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
LL52497(SC)
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
52497(SC)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Class of 2018
Contact & Hours
Via practice · 2 locations total
- Address
- 877 W FARIS RD
GREENVILLE, SC 29605 - Phone
- (864) 455-9022
Quick Facts
- NPI
- 1336633114
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 8
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