Plymale, Mickey F

Plymale, Mickey F is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Suite 200, Columbia SC 29203-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Plymale, Mickey F can be contacted via phone (803) 296-9200.

Contact Information

Primary practice address
14 Richland Medical Park Dr Suite 200 Columbia SC 29203-6877
Phone: (803) 296-9200
Fax: (803) 296-9697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 34492 South Carolina

Profile Details

NPI number 1972809192
LBN Legal business name Plymale, Mickey F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2011
Last updated Mar 9th, 2018 - about 6 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 1972809192 NPPES
South Carolina MEDICAID 344924

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