person
Michael B Carothers, PA
Medical Physician Assistant in Summerville, South Carolina
NPI 1063797447

Michael B Carothers is a Medical Physician Assistant based in Summerville, SC and is specialized in Medical. Michael B Carothers practices in Summerville, SC and has the professional credentials of PA. The NPI Number for Michael B Carothers is 1063797447 and holds a License No. 1922 (South Carolina).

The current practice location address for Michael B Carothers is 104 Terrapin Cir, Summerville, SC and can be reached out via phone at 843-475-4392.

Location: 104 Terrapin Cir, Summerville, SC, 29486-8273
person
Provider Profile Details
NPI Number
1063797447
Provider Name
Michael B Carothers
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
104 Terrapin Cir, Summerville, SC, 29486-8273
Phone Number
843-475-4392
Fax Number
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2059PA 05 SC
institution
Provider Business Practice Location Address Details
Address
104 Terrapin Cir
City
State
Zip
29486-8273
Phone Number
843-475-4392
Fax Number
person
Provider Business Mailing Address Details
Address
104 Terrapin Cir
City
State
Zip
29486-8273
Phone Number
843-475-4392
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1922 (South Carolina)
Definition
Definition to come...
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