Individual
DR. MARY KAYE FAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1407 SOUTHWOOD DR, SURFSIDE BEACH, SC 29575-5365
(843) 215-6992
(843) 215-9409
Mailing address
1407 SOUTHWOOD DR, SURFSIDE BEACH, SC 29575-5365
(843) 215-6992
(843) 215-9409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17183
WI
207Q00000X
Family Medicine Physician
Primary
6170
SC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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