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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN SPANDORFER MD

MEDICARE: DR. MICHAEL ALAN SPANDORFER 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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician20019SC
2207RP1001XPulmonary Disease Physician20019SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00799634OTHERSCRAILROAD MC ID-RSFPN

General Provider Information

NPI Number : 1134122112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN SPANDORFER MD
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number :
Provider Business Practice Location Address
First Line : 316 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-1113
Country : US
Telephone Number : 843-724-2450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/03/2024

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Directions to “ DR. MICHAEL ALAN SPANDORFER MD” Practice Location

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