Individual
MICHAEL TYRO COLFAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1268 NEXTON PKWY STE 104, SUMMERVILLE, SC 29486-2167
(843) 212-8080
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022-01387
NC
207Q00000X
Family Medicine Physician
Primary
93261
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
04/28/2025
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