Individual
MICHAEL M FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2701 CHURCH ST, STE A, CONWAY, SC 29526-4422
(843) 365-0295
(843) 365-0354
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82192
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821927
—
SC
Enumeration date
03/19/2019
Last updated
11/22/2024
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