Individual
DR. MICHAEL ANTONIO ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 CHESTNUT ST, ORANGEBURG, SC 29115-3508
(803) 534-7100
(803) 534-7184
Mailing address
PO BOX 507, ORANGEBURG, SC 29116-0507
(803) 534-7100
(803) 534-7184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1640
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CHO1640
—
SC
Enumeration date
11/01/2007
Last updated
11/01/2007
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