Individual
MICHAEL MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
PIEDMONT ORTHOPAEDIC ASSOCIATES, 35 INTERNATIONAL DRIVE, GREENVILLE, SC 29615-4816
(864) 234-7654
(864) 675-1657
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4940
—
SC
Enumeration date
12/11/2017
Last updated
06/26/2018
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