Dr. Michael Josiah Maughon Jr., M.D.
Orthopaedic Surgery, Sports Medicine in Greenwood, SC. Individual provider (NPI-1).
NPI number1629003751
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1629003751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Josiah Maughon Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Certification date
- Dec 9, 2021
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 29150 | SC | Yes |
| 207X00000X | Orthopaedic Surgery | 29150 | SC |
Practice location
102 Gregor Mendel CirGreenwood, SC 29646-2315
Phone 864-229-2663 · Fax 864-223-5694
Mailing address
102 Gregor Mendel CirGreenwood, SC 29646-2315
Phone 864-229-2663 · Fax 864-223-5694
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