Individual
MR. MICHAEL PAUL TERRIBILE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
937 RIVERWALK PKWY STE 203, ROCK HILL, SC 29730-0178
(803) 659-3671
Mailing address
937 RIVERWALK PKWY STE 203, ROCK HILL, SC 29730-0178
(740) 566-4621
(740) 566-4622
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA3809
SC
363AM0700X
Medical Physician Assistant
007910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4435PA
—
SC
Enumeration date
12/15/2006
Last updated
04/05/2024
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