Individual
MICHAEL M ZHADKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2507 WATERCREST LN, JOHNS ISLAND, SC 29455-3108
(864) 680-2568
(864) 725-7910
Mailing address
2507 WATERCREST LN, JOHNS ISLAND, SC 29455-3108
(864) 680-2568
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
21305
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E-9066
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690588W
—
NC
05
—
T51084
—
SC
Enumeration date
03/23/2006
Last updated
05/03/2023
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