Mccusker, Michelle C

Mccusker, Michelle C is an individual health care provider with primary practice located at 104-B Morgan Pl , Summerville SC 29485. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Mccusker, Michelle C can be contacted via phone (843) 851-3800.

Contact Information

Primary practice address
104-B Morgan Pl Summerville SC 29485
Phone: (843) 851-3800
Fax: (843) 851-7787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 16480 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 16480 South Carolina

Profile Details

NPI number 1891710463
LBN Legal business name Mccusker, Michelle C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891710463 NPPES
South Carolina MEDICAID GP0735
South Carolina MEDICAID TL5615

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