MEDICARE: MICHAEL JOHN VARNEY MD

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
1	207R00000X	Internal Medicine Physician	33319	NC
2	208D00000X	General Practice Physician	33319	NC
3	207R00000X	Internal Medicine Physician	16343	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	111020136	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B4139	OTHER	NC	MEDCOST
2	01-28700	OTHER	NC	UNITED HEALTHCARE
3	84974	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1124023510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOHN VARNEY MD

Provider Business Mailing Address
First Line	:	PO BOX 749306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9306
Country	:	US
Telephone Number	:	843-663-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2246 HIGHWAY 17
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-9235
Country	:	US
Telephone Number	:	843-663-2220
Fax Number	:	843-663-2221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	11/03/2024

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Directions to “ MICHAEL JOHN VARNEY MD” Practice Location

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