Individual
DR. MICHAEL ULLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
04380
SC
207RN0300X
Nephrology Physician
Primary
14380
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143801
—
SC
Enumeration date
07/18/2005
Last updated
10/15/2020
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