Provider Demographics
NPI:1093043192
Name:BARBER, MICHALE JILL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHALE
Middle Name:JILL
Last Name:BARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:211 KING ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-3128
Mailing Address - Country:US
Mailing Address - Phone:843-577-6995
Mailing Address - Fax:843-577-8482
Practice Address - Street 1:211 KING ST
Practice Address - Street 2:SUITE 310
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-3128
Practice Address - Country:US
Practice Address - Phone:843-577-6995
Practice Address - Fax:843-577-8482
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCSC13325207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology