Mark Anthony Micolucci, MD
Mark Anthony Micolucci, MD is a Family Practice in Travelers Rest, South Carolina. Graduated from Florida State University College of Medicine in 2018, 8 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.
- Years since qualifying
- 8
- Trained at
- Florida State University College of Medicine
- Licensed in
- SC
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Travelers Rest, SCFax: (864) 241-9234
No coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 877 W Faris Rd, Greenville, SC 29605-4289 — (864) 455-9022
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 52497 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence LL52497 (SC) |
Record details
| NPI number | 1336633114 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 15, 2018 |
| Last updated in NPPES | August 31, 2021 |
| Certification date | August 31, 2021 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2018 (8 years in practice) |
| Group practice | Prisma Health University Medical Group — 2446 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Travelers Rest
-
Austin Ross Chastain, ATS
Student / training record Travelers Rest, SC
-
Brandon Lloyd Watson, DO
Student / training record Travelers Rest, SC