Individual
DR. MICHELLE C MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104-B MORGAN PL, SUMMERVILLE, SC 29485
(843) 851-3800
(843) 851-7787
Mailing address
PO BOX 50367, SUMMERVILLE, SC 29485
(843) 851-3800
(843) 851-7787
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16480
SC
207VX0000X
Obstetrics Physician
16480
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0735
—
SC
05
—
TL5615
—
SC
Enumeration date
07/13/2006
Last updated
09/11/2025
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