Archer, Michelle G
Archer, Michelle G is an individual health care provider with primary practice located at 99 N Mill St , Little Mountain SC 29075-8788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Archer, Michelle G can be contacted via phone (803) 945-1005.Contact Information
Primary practice address
99 N Mill St
Little Mountain SC 29075-8788
Phone: (803) 945-1005
Fax: (803) 945-9601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18878 | South Carolina |
Profile Details
| NPI number | 1598731556 |
|---|---|
| LBN Legal business name | Archer, Michelle G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 6th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598731556 | NPPES |
| South Carolina | MEDICAID | 188781 |
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