Michael, Mary L

Michael, Mary L is an individual health care provider with primary practice located at 606 Black River Rd , Georgetown SC 29440-3304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Michael, Mary L can be contacted via phone (843) 527-7000.

Contact Information

Primary practice address
606 Black River Rd Georgetown SC 29440-3304
Fax: (843) 520-8403
Website:

Health care specialties

Profile Details

NPI number 1952301731
LBN Legal business name Michael, Mary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 15 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 1952301731 NPPES
South Carolina MEDICAID AN0272

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