Individual
MICHAEL KENNETH FOXWORTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 2ND LOOP RD, FLORENCE, SC 29501-6123
(843) 432-3700
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35471
SC
2080P0208X
Pediatric Infectious Diseases Physician
35471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354716
—
SC
Enumeration date
05/22/2007
Last updated
08/19/2021
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