Individual
MICHELLE WHEELER EVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
890 S PLEASANTBURG DR, GREENVILLE, SC 29607-2455
(864) 271-1450
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000103903
NC
363A00000X
Physician Assistant
Primary
1917
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2280PA
—
SC
Enumeration date
03/23/2006
Last updated
05/20/2021
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