Individual
PHILLIP W SACCOGNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 WHITMIRE RD, EASLEY, SC 29640-1426
(864) 855-2411
(864) 855-2413
Mailing address
115 WHITMIRE RD, EASLEY, SC 29640-1426
(864) 855-2411
(864) 855-2413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA7876
—
SC
Enumeration date
11/29/2005
Last updated
07/09/2007
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