Individual
MICHELLE WENTZ HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6164
(864) 560-7092
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89519
SC
207V00000X
Obstetrics & Gynecology Physician
MD455262
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103051445
—
PA
05
—
895197
—
SC
01
—
SCP4503365
MEDICARE PIN
SC
Enumeration date
06/14/2011
Last updated
01/10/2024
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