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NPI Code Detail

MEDICARE: MICHAEL NORRED M.D.

MEDICARE: MICHAEL NORRED M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME181719FL
22084P0800XPsychiatry PhysicianLL39586SC

General Provider Information

NPI Number : 1740639384
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL NORRED M.D.
Provider Business Mailing Address
First Line : 169 ASHLEY AVE
Second Line : ROOM 202 MAIN HOSPITAL, MSC333
City : CHARLESTON
State : SC
Zip : 29425-8905
Country : US
Telephone Number : 843-792-9162
Fax Number :
Provider Business Practice Location Address
First Line : 169 ASHLEY AVE
Second Line : ROOM 202 MAIN HOSPITAL, MSC333
City : CHARLESTON
State : SC
Zip : 29425-8905
Country : US
Telephone Number : 843-792-9162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2016
Last Update Date : 06/15/2026

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