Individual
MICHAEL W PRYSTOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9291 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9126
(843) 797-3664
(843) 820-1007
Mailing address
9291 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406-9126
(843) 797-3664
(843) 820-1007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11763
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117634
—
SC
Enumeration date
02/15/2006
Last updated
12/29/2010
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