Individual
MICHELLE LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1851 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4870
(843) 305-7337
Mailing address
2016 1ST AVE, SUMMERVILLE, SC 29486-0408
(843) 873-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23764
SC
Other
Enumeration date
09/09/2021
Last updated
01/15/2025
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