Organization
DAVID MICHAEL MCCANCE, LLC
Active
Other names
Carolina Gastroenterology & Hepatology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL MCCANCE D.O. (OWNER-PRESIDENT)
(843) 553-8730
Entity
Organization
Contact information
Practice address
9302 MEDICAL PLAZA DR, SUITE B, CHARLESTON, SC 29406-9142
(843) 553-8730
(843) 553-8767
Mailing address
9302 MEDICAL PLAZA DR, SUITE B, CHARLESTON, SC 29406-9142
(843) 553-8730
(843) 553-8767
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
TL1233
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111404919
—
MI
01
—
1154600105
BCBS
MI
05
—
1275639361
—
SC
Enumeration date
04/23/2007
Last updated
06/21/2010
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