Individual
MICHAEL SAMUEL CICCHILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 3320, COLUMBIA, SC 29203-6849
(803) 434-7100
(803) 434-6889
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(645) 228-6038
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
29174
SC
2086S0129X
Vascular Surgery Physician
35093033
OH
Other
Enumeration date
07/11/2006
Last updated
12/19/2025
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