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1235844424
MICHAEL CONNOR SELF
CHARLESTON, SC
NPI
1235844424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: SC 29347)
Enumeration Date
2023-01-23
Last Update Date
2024-09-11
Business Address
MICHAEL CONNOR SELF NP
171 ASHLEY AVE
CHARLESTON, SC 29425-4526
Phone number: 843-792-1414
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Mailing Address
MICHAEL CONNOR SELF NP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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