Individual
DREW CARL MONITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 EAST WOOD STREET, DEPT OF RADIATION ONCOLOGY, SPARTANBURG, SC 29303-3040
(864) 560-6917
(864) 560-6017
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
19991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199911
—
SC
05
—
890124V
—
NC
05
—
89067C2
—
NC
05
—
GP0371
—
SC
01
—
P00060061
RAILROAD MEDICARE
SC
01
—
P01235997
RAILROAD MEDICARE
SC
01
—
SC14307652
MEDICARE PIN
SC
Enumeration date
04/25/2006
Last updated
06/08/2023
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