Individual
MRS. MICHELLE CATHLEEN CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6806
(864) 560-7329
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
18956
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197161
MEDCOST
SC
01
—
5831346
AETNA
SC
05
—
890656C
—
NC
01
—
SCI5723365
MEDICARE PIN
SC
05
—
T29715
—
SC
Enumeration date
04/12/2006
Last updated
12/09/2020
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