Individual
DR. JOHN E BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 CHESTNUT SPRINGS CT, GREER, SC 29651-2327
(678) 373-7945
Mailing address
28 CHESTNUT SPRINGS CT, GREER, SC 29651-2327
(678) 373-7945
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
059683
GA
2085R0202X
Diagnostic Radiology Physician
ME79529
FL
2085R0204X
Vascular & Interventional Radiology Physician
059683
GA
2085R0204X
Vascular & Interventional Radiology Physician
ME79529
FL
208D00000X
General Practice Physician
Primary
20153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118539404G
—
GA
05
—
268626100
—
FL
01
—
30BDNSQ
MEDICARE
GA
Enumeration date
03/23/2006
Last updated
11/13/2018
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