Antworth, Michael V

Antworth, Michael V is an individual health care provider with primary practice located at 1126 Grove Road , Greenville SC 29605-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Antworth, Michael V can be contacted via phone (864) 233-5722.

Contact Information

Primary practice address
1126 Grove Road Greenville SC 29605-4620
Fax: (864) 233-6027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15156 South Carolina

Profile Details

NPI number 1649254020
LBN Legal business name Antworth, Michael V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 21st, 2007 - about 17 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 1649254020 NPPES
South Carolina MEDICAID GP0876

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