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Individual

MICHAEL EVERETTE HANEY II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
222 E MEDICAL LN, STE 100 AND 200, WEST COLUMBIA, SC 29169
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8410
(803) 936-4816

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4459
SC
363AS0400X
Surgical Physician Assistant
Primary
4459
SC

Other

Enumeration date
07/13/2022
Last updated
09/15/2025
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