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1093317646
MICHAEL R. STAVERSKY
LADSON, SC
NPI
1093317646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 3892)
Enumeration Date
2020-11-09
Last Update Date
2024-04-26
Business Address
MICHAEL R. STAVERSKY PA-C
3495 IRON HORSE RD
LADSON, SC 29456-4319
Phone number: 843-793-5970
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Mailing Address
MICHAEL R. STAVERSKY PA-C
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 843-695-6071
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