Individual
MICHAEL WILLIAM CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-0192
Mailing address
69 ASHLEY AVE RM 202, CHARLESTON, SC 29401-1282
(843) 792-0192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MMD.95059
SC
Other
Enumeration date
05/13/2025
Last updated
07/01/2025
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