Provider Demographics
NPI:1720006596
Name:BILLINGS, MICHEAL R (MD)
Entity Type:Individual
Prefix:
First Name:MICHEAL
Middle Name:R
Last Name:BILLINGS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:255 ENTERPRISE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6300
Mailing Address - Country:US
Mailing Address - Phone:864-454-0888
Mailing Address - Fax:864-454-1130
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:GREENVILLE MEMORIAL ,ER ADMINISTRATION
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-6372
Practice Address - Fax:864-455-5474
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
SC14337207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC143375Medicaid
SC167143OtherUNISON
SC20009859OtherSELECT HEALTH IND
SC20-14337OtherSC CONTOLLED SUBSTANCE
SC20031678OtherSELECT HEALTH GRP
SC20031678OtherSELECT HEALTH GRP
SC20-14337OtherSC CONTOLLED SUBSTANCE