Michael Kenneth Foxworth II, MD
Pediatrics in Florence, SC. Individual provider (NPI-1).
NPI number1679782866
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1679782866
- Entity type
- Individual (NPI-1)
- Name
- Michael Kenneth Foxworth II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35471 | SC | Yes |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 35471 | SC |
Practice location
1920 2nd Loop RdFlorence, SC 29501-6123
Phone 843-432-3700 · Fax 843-667-1362
Mailing address
360 N Irby StFlorence, SC 29501-2808
Phone 843-667-9414 · Fax 843-667-1362
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