Individual
MICHAEL CHRISTOPHER SEABOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
318 CANAL PRISM RD, JOHNS ISLAND, SC 29455-3456
(843) 270-1556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
09/18/2024
Last updated
09/18/2024
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