Fiacco, Cindy L

Fiacco, Cindy L is an individual health care provider with primary practice located at 115 Executive Pkwy , Moncks Corner SC 29461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fiacco, Cindy L can be contacted via phone (843) 761-2815.

Contact Information

Primary practice address
115 Executive Pkwy Moncks Corner SC 29461
Phone: (843) 761-2815
Fax: (843) 899-4723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 466 South Carolina

Profile Details

NPI number 1053349787
LBN Legal business name Fiacco, Cindy L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053349787 NPPES
South Carolina MEDICAID 1032PA

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