Individual
MARC JAMES COMIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3980 HIGHWAY 9 E STE 100, LITTLE RIVER, SC 29566-8163
(843) 390-8320
(843) 390-8329
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 390-8320
(843) 390-8329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1431
SC
207R00000X
Internal Medicine Physician
34004891C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118340
ANTHEM
OH
05
—
014317
—
SC
01
—
0400998
UHC
—
01
—
0673973
PALMETTO MEDICARE
—
05
—
0871730
—
OH
01
—
110071156
TRAVELERS MEDICARE
—
01
—
311098079029
CIGNA
—
01
—
353077
SUBMITTER NO
—
01
—
635999
AETNA
—
Enumeration date
05/05/2006
Last updated
06/24/2021
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