Individual
DR. WILLIAM M CICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2376 CYPRESS CIR STE 102, CONWAY, SC 29526-8964
(843) 347-8953
(843) 347-0226
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6827
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
83204
SC
207RC0000X
Cardiovascular Disease Physician
MD453708
PA
207RC0000X
Cardiovascular Disease Physician
ME 88048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272405700
—
FL
Enumeration date
06/09/2006
Last updated
05/21/2020
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