NPI 1053809095
Michael Douglas Mavis
Practice location
- Address
- 233 Mountain Estates Rd, Pickens, SC 29671-8518
- Phone
- (864) 637-8770
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1053809095
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Apr 2018
- Record last updated
- 25 Apr 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.