Individual
MR. MICHAEL JOSEPH GEOFFRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8384 CHARLOTTE HWY, INDIAN LAND, SC 29707-6532
(803) 547-2426
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22162
SC
363LF0000X
Family Nurse Practitioner
22162
SC
Other
Enumeration date
11/08/2018
Last updated
11/15/2024
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