Provider Demographics
NPI:1104092204
Name:ATCHLEY, MICHAEL CHAD SR (PA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CHAD
Last Name:ATCHLEY
Suffix:SR
Gender:M
Credentials:PA
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Mailing Address - Street 1:9267 MEDICAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9139
Mailing Address - Country:US
Mailing Address - Phone:843-797-3636
Mailing Address - Fax:843-797-3637
Practice Address - Street 1:176 MCSWAIN DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4825
Practice Address - Country:US
Practice Address - Phone:843-797-3636
Practice Address - Fax:843-797-3637
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2024-07-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant