Individual
MICHAEL ANTHONY SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE A100, GREENVILLE, SC 29615-6302
(864) 454-5612
(864) 454-5121
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
36956
SC
2084P0800X
Psychiatry Physician
LL36956
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
36956
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369568
—
SC
Enumeration date
06/09/2014
Last updated
05/10/2021
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