Carothers, Michael B

Carothers, Michael B is an individual health care provider with primary practice located at 104 Terrapin Cir , Summerville SC 29486-8273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carothers, Michael B can be contacted via phone (843) 475-4392.

Contact Information

Primary practice address
104 Terrapin Cir Summerville SC 29486-8273
Phone: (843) 475-4392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1922 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055229 Pennsylvania

Profile Details

NPI number 1063797447
LBN Legal business name Carothers, Michael B
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Nov 30th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063797447 NPPES
South Carolina MEDICAID 2059PA

Popular Providers