Anthony Marcus Hlavacek, MD
Pediatrics, Pediatric Cardiology in Charleston, SC. Individual provider (NPI-1).
NPI number1497863369
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1497863369
- Entity type
- Individual (NPI-1)
- Name
- Anthony Marcus Hlavacek
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | 26307 | SC | Yes |
Practice location
171 Ashley AveCharleston, SC 29425-0001
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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