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Contact Information

DAVID MICHAEL MCCANCE, LLC
9302 MEDICAL PLAZA DR
SUITE B
CHARLESTON, SC29406-9142
 Phone: 843-553-8730
 Fax: 843-553-8767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for DAVID MICHAEL MCCANCE, LLC

NPI # 1912125212
LBN Legal business name DAVID MICHAEL MCCANCE, LLC
Authorized official DAVID MCCANCE - (OWNER-PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 06/21/2010 - About 16 years ago
Identifiers
SC License # TL1233
MI Medicaid 111404919
SC Medicaid 1275639361
MI Other 1154600105 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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