Michael Douglas Mavis

NPI #1053809095 in Pickens, South Carolina

Provider Information

NPI Number: 1053809095
Entity Type: Individual
Name: Michael Douglas Mavis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Apr 25, 2018
Last Updated: Apr 25, 2018

Practice Location

Address: 233 MOUNTAIN ESTATES RD
City: Pickens
State: South Carolina
ZIP Code: 29671-8518
Phone: (864) 637-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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