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General NPI Number Information
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NPI Number | 1124023510
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Entity Type | Individual
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Provider Name | MICHAEL JOHN VARNEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 2246 HIGHWAY 17
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City | LITTLE RIVER
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State | SC
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Zip | 29566-9235
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Country | US
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Telephone | 843-663-2220
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Fax | 843-663-2221
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Provider Business Mailing Address
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Address Line | PO BOX 749306
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City | ATLANTA
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State | GA
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Zip | 30374-9306
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Country | US
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Telephone | 843-663-2220
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 33319
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 33319
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16343
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License Number State | SC
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