MEDICARE: MICHELE LYNN TAFFARO-NESKEY PA

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	363A00000X	Physician Assistant	2230	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982755781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE LYNN TAFFARO-NESKEY PA

Provider Business Mailing Address
First Line	:	PO BOX 751874
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1874
Country	:	US
Telephone Number	:	843-402-5200
Fax Number	:	843-402-5296

Provider Business Practice Location Address
First Line	:	300 CALLEN BLVD
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-2815
Country	:	US
Telephone Number	:	843-572-9211
Fax Number	:	843-572-0457

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	10/01/2025

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