Individual
MICHAEL SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2475 BROAD ST, SUMTER, SC 29150-1820
(803) 778-6555
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 238-1461
(843) 828-0622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21389
SC
363LF0000X
Family Nurse Practitioner
Primary
21389
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4980
—
SC
Enumeration date
11/20/2017
Last updated
11/06/2024
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