MEDICARE: DAVID CYKERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	218275	NC
2	207R00000X	Internal Medicine Physician	82225	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SCF8246067	OTHER	SC	MEDICARE PIN
2	SCF8246084	OTHER	SC	MEDICARE PIN
3	SCF824J577	OTHER	SC	MEDICARE PIN
5	SCF8245019	OTHER	SC	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154777456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CYKERT

Provider Business Mailing Address
First Line	:	1650 SKYLYN DR STE 202
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-1069
Country	:	US
Telephone Number	:	864-560-9056
Fax Number	:	864-560-9057

Provider Business Practice Location Address
First Line	:	1650 SKYLYN DR STE 202
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-1069
Country	:	US
Telephone Number	:	864-560-9056
Fax Number	:	864-560-9057

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	03/05/2024

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Directions to “ DAVID CYKERT ” Practice Location

Language	Start Address	Practice Location

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