Individual
MR. MICHAEL JOSEPH WINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2755 S HIGHWAY 14 STE 1220, GREER, SC 29650-4902
(864) 849-3500
(864) 879-3693
Mailing address
2 CANVASBACK TRL, GREENVILLE, SC 29617-7330
(423) 440-0847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5635
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/12/2023
Last updated
09/17/2025
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