Individual
SAVANNAH WILLIAMS MICOLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 455-1600
(834) 286-5298
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52773
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527736
—
SC
Enumeration date
06/18/2018
Last updated
08/10/2022
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