Individual
MICHAEL GRANT AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, 6TH FLOOR, SUPPORT TOWER, GREENVILLE, SC 29605-5611
(864) 455-7146
(864) 455-5380
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
19399
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193999
—
SC
Enumeration date
05/05/2006
Last updated
07/19/2021
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