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Contact Information

CINDY L FIACCO, PA
115 EXECUTIVE PKWY
MONCKS CORNER, SC29461
 Phone: 843-761-2815
 Fax: 843-899-4723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CINDY L FIACCO · (Female)

NPI Number 1053349787
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/29/2006
Last updated 06/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 466
  • SC Medicaid 1032PA
Hospital affiliation(s) Not Available
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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