Demicco, John Michael

Demicco, John Michael is an sole proprietor health care provider with primary practice located at 11700 Mercy Blvd Plaza D Suite A-1, Savannah GA 31419-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Demicco, John Michael can be contacted via phone (912) 920-8898.

Contact Information

Primary practice address
11700 Mercy Blvd Plaza D Suite A-1 Savannah GA 31419-1753
Phone: (912) 920-8898
Fax: (912) 920-4418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 016855 Georgia

Profile Details

NPI number 1285632125
LBN Legal business name Demicco, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Jul 14th, 2010 - about 14 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 1285632125 NPPES
South Carolina MEDICAID G16855
South Carolina Other 145002
South Carolina MEDICAID 000586539C

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