Individual
MICAELA LYNN BARTASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 797-7000
Mailing address
1503 CAMBRIDGE LAKES DR, MOUNT PLEASANT, SC 29464-7301
(732) 570-7438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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