Organization
PECORA MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA PANAMENO MBA (PRACTICE MANAGER)
(864) 225-7401
Entity
Organization
Contact information
Practice address
803 N FANT ST STE 3A, ANDERSON, SC 29621-5718
(864) 225-7401
(864) 225-7201
Mailing address
PO BOX 357, ANDERSON, SC 29622-0357
(864) 225-7401
(864) 225-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8549
—
SC
Enumeration date
05/12/2011
Last updated
10/24/2018
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