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:
Health care specialties
| Specialty | Code | License # | 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 | Sep 11th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891710463 | NPPES |
| South Carolina | MEDICAID | GP0735 | |
| South Carolina | MEDICAID | TL5615 |
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