Individual
MICHELLE KHAWAJA SAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 INGLES DR, INMAN, SC 29349-8314
(864) 342-4090
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397379
—
SC
01
—
SCG0776084
MEDICARE PIN
SC
Enumeration date
07/06/2016
Last updated
10/25/2019
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