Individual
CHRISTOPHER MYCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
69866
WI
2085R0202X
Diagnostic Radiology Physician
Primary
87580
SC
Other
Enumeration date
05/24/2014
Last updated
05/18/2022
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