MICHAEL CONNOR SELF

CHARLESTON, SC
NPI1235844424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: SC  29347)
Enumeration Date2023-01-23
Last Update Date2024-09-11
Business Address
MICHAEL CONNOR SELF NP
171 ASHLEY AVE
CHARLESTON, SC 29425-4526
Phone number: 843-792-1414
Mailing Address
MICHAEL CONNOR SELF NP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200