Michael David Tichenor, MD

NPI #1013401843 in Columbia, South Carolina

Provider Information

NPI Number
1013401843
Entity Type
Individual
Name
Michael David Tichenor, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Surgery
Credential
MD
Enumeration Date
Jun 15, 2018
Last Updated
Jun 15, 2018

Practice Location

Address
SURGERY CLINIC
Address 2
1801 SUNSET DRIVE
ZIP Code
29203
Phone
(803) 434-4166

Specialties & Taxonomy Codes

Specialty
Surgery

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