Individual
DR. MICHAEL JOSIAH MAUGHON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
(864) 223-5694
Mailing address
102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
(864) 229-2663
(864) 223-5694
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29150
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29150
SC
Other
Enumeration date
07/11/2006
Last updated
12/09/2021
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