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Contact Information

MICHAEL K MIKKELSON, MD
181 BLUFFTON RD BLDG G101G102
BLUFFTON, SC29910-6221
 Phone: 843-757-5400
 Fax: 843-757-2240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL K MIKKELSON · (Male)

NPI Number 1972561496
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2006
Last updated 04/18/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 15315
  • SC Medicaid 153157
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • CANDLER HOSPITAL - (Acute Care)
    5353 REYNOLDS STREET
    SAVANNAH, GA 31412
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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