Individual
DR. KEVIN DOCYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 PELHAM RD, GREENVILLE, SC 29615-5002
(864) 530-3500
(864) 560-3525
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD37278
SC
208D00000X
General Practice Physician
37278
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372787
—
SC
01
—
SC62846067
MEDICARE PIN
SC
01
—
SC62846084
MEDICARE PIN
SC
01
—
SC6284J577
MEDICARE PIN
SC
Enumeration date
05/06/2010
Last updated
08/01/2023
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