Individual
MRS. MICHELE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0471
—
SC
Enumeration date
04/26/2006
Last updated
12/03/2025
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