Healthcare Provider Details

I. General information

NPI: 1780749440
Provider Name (Legal Business Name): MICHAEL JOHN SZYNSKI AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2006
Last Update Date: 02/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 MAIN ST SUITE 101-A
HILTON HEAD ISLAND SC
29926-1648
US

IV. Provider business mailing address

PO BOX 23123
HILTON HEAD ISLAND SC
29925-3123
US

V. Phone/Fax

Practice location:
  • Phone: 843-681-6070
  • Fax: 843-681-6673
Mailing address:
  • Phone: 843-681-6070
  • Fax: 843-681-6673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3236
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: