Individual
DR. CHRISTOPHER MICHAEL MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
180 WINGO WAY STE 101, MOUNT PLEASANT, SC 29464-1810
(843) 800-1215
(843) 800-1215
Mailing address
180 WINGO WAY STE 101, MOUNT PLEASANT, SC 29464-1810
(843) 800-1215
(843) 800-1215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1399
SC
207P00000X
Emergency Medicine Physician
67506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121715E
—
GA
05
—
013997
—
SC
01
—
1399
MEDICAL LICENSE
SC
01
—
67506
GA MEDICAL LICENSE
GA
Enumeration date
08/16/2007
Last updated
12/21/2021
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