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Contact Information

PHILLIP W SACCOGNA, MD
115 WHITMIRE RD
EASLEY, SC29640-1426
 Phone: 864-855-2411
 Fax: 864-855-2413
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PHILLIP W SACCOGNA · (Male)

NPI # 1154304632
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 17947
  • SC Medicaid PA7876
Hospital affiliation(s)
  • BAPTIST EASLEY HOSPITAL - (Acute Care)
    200 FLEETWOOD DRIVE
    EASLEY, SC 29640
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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