Individual
DR. MICHAEL G MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
853 N CHURCH ST STE 500, SPARTANBURG, SC 29303-3077
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1287
SC
208600000X
Surgery Physician
34.011731
OH
208600000X
Surgery Physician
LL1287
SC
2086S0102X
Surgical Critical Care Physician
Primary
1287
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012872
—
SC
05
—
0130299
—
OH
01
—
SCB2483365
MEDICARE PIN
SC
Enumeration date
07/29/2009
Last updated
01/27/2021
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