Provider Demographics
NPI:1588032817
Name:ALLMAN, MICHAEL (APRN)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ALLMAN
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Gender:M
Credentials:APRN
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Mailing Address - Street 1:1053 CENTER STREET
Mailing Address - Street 2:SC HOUSE CALLS INC
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169
Mailing Address - Country:US
Mailing Address - Phone:800-491-0909
Mailing Address - Fax:912-350-7297
Practice Address - Street 1:138 CANAL STREET, UNIT 308
Practice Address - Street 2:SC HOUSE CALLS INC/GA HOUSE CALLS INC
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:26169
Practice Address - Country:US
Practice Address - Phone:800-491-0909
Practice Address - Fax:912-350-7297
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2023-07-26
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Provider Licenses
StateLicense IDTaxonomies
GARN191921363L00000X
SC206900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582288758Medicare PIN