Healthcare Provider Details

I. General information

NPI: 1366708992
Provider Name (Legal Business Name): MICHAEL BENJAMIN MEFFORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 CIVITAS ST STE 203
MOUNT PLEASANT SC
29464-2201
US

IV. Provider business mailing address

159 CIVITAS ST STE 203
MOUNT PLEASANT SC
29464-2201
US

V. Phone/Fax

Practice location:
  • Phone: 843-977-2677
  • Fax: 843-829-4770
Mailing address:
  • Phone: 843-977-2677
  • Fax: 843-829-4770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD18623
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: