Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DOUGLAS MAVIS
Active Sole ProprietorMICHAEL DOUGLAS MAVIS is a Contractor healthcare provider located in PICKENS, South Carolina. NPI 1053809095 is currently active in the NPPES registry. Verify at CMS.
Contractor · PICKENS, SC
Registration Details
- NPI Number
- 1053809095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2018 (8.3029149087957 yrs)
- Last Updated
- Apr 25, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
233 MOUNTAIN ESTATES RDPICKENS, SC, 296718518Browse SC providers · Browse ZIP 29671
- Phone
- 8646378770
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.