Individual
JUSTIN MICHAEL GARZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3251
(843) 375-4000
Mailing address
1201 CENTRAL HAVEN DR, APT 1115, MOUNT PLEASANT, SC 29464-3791
(862) 432-2967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1307
SC
207R00000X
Internal Medicine Physician
Primary
2013-01843
NC
208M00000X
Hospitalist Physician
1307
SC
208M00000X
Hospitalist Physician
2013-01843
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013078
—
SC
01
—
1307
STATE LICENSE
SC
05
—
1770806804
—
NC
Enumeration date
03/03/2010
Last updated
05/28/2020
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