Individual
MICHAEL ORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2024
SC
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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