Individual
DR. MICHAEL L WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 606-7810
(843) 606-8088
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021612
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
39016
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G21612
—
SC
Enumeration date
05/20/2006
Last updated
01/31/2019
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