Healthcare Provider Details
I. General information
NPI: 1568723625
Provider Name (Legal Business Name): MICHAEL J. HARLING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/06/2012
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
403 HILLCREST DR STE C
EASLEY SC
29640-1207
US
IV. Provider business mailing address
300 E MCBEE AVE STE 300
GREENVILLE SC
29601-2899
US
V. Phone/Fax
- Phone: 864-855-1644
- Fax: 864-855-6101
- Phone: 864-522-8611
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 34759 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | LL34759 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: