Individual
MICHAEL PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4028
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4028
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22464
SC
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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