Healthcare Provider Details

I. General information

NPI: 1023089919
Provider Name (Legal Business Name): SALVATORE FRANCO BIANCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 CELANESE RD
ROCK HILL SC
29732-1722
US

IV. Provider business mailing address

1393 CELANESE RD
ROCK HILL SC
29732-1722
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-3103
  • Fax: 803-327-7937
Mailing address:
  • Phone: 803-329-3103
  • Fax: 803-327-7937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number19491
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: