Foxworth, Michael Kenneth

Foxworth, Michael Kenneth is an individual health care provider with primary practice located at 1920 2Nd Loop Rd , Florence SC 29501-6123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Foxworth, Michael Kenneth can be contacted via phone (843) 432-3700.

Contact Information

Primary practice address
1920 2Nd Loop Rd Florence SC 29501-6123
Phone: (843) 432-3700
Fax: (843) 667-1362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35471 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35471 South Carolina

Profile Details

NPI number 1679782866
LBN Legal business name Foxworth, Michael Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Aug 19th, 2021 - about 4 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 1679782866 NPPES
South Carolina MEDICAID 354716

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