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Mary Favaro, M.D

NPI 1043326036 · on the registry since 2006 · sole proprietor

Practice

Address
1407 Southwood Dr
Surfside Beach, SC 29575
Phone
(843) 215-6992
Fax
(843) 215-9409

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
SC, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina