Individual
DR. MICHAEL R RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
408 SE MAIN STREET, SIMPSONVILLE, SC 29681
(864) 228-8010
Mailing address
408 SE MAIN STREET, SIMPSONVILLE, SC 29681
(864) 228-8010
(864) 228-3050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20303
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2981
—
SC
Enumeration date
08/15/2006
Last updated
07/08/2007
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