Individual
DR. PATRICK ALLEN HONAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
(843) 667-1362
Mailing address
412 KIMBALL DR, MARION, SC 29571-1916
(843) 423-9057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17870
SC
207L00000X
Anesthesiology Physician
Primary
9500942
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
17870
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155031900
US DEPT OF LABOR
SC
05
—
178701
—
SC
01
—
183027
MEDCOST
SC
01
—
570835798
STANDARD TAX ID
SC
05
—
8906437
—
NC
Enumeration date
04/20/2006
Last updated
08/12/2020
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