Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 31536 | SC |
NPI | 1316972318 |
---|---|
Provider Name | Mr. Michael J Slowey |
First Address | Mt Pleasant, SC 29464-3254 |
Second Address | Mt Pleasant, SC 29464-3254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 07/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E91109 | (02) |