Provider Demographics
NPI:1366708992
Name:MEFFORD, MICHAEL BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BENJAMIN
Last Name:MEFFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:159 CIVITAS ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2201
Mailing Address - Country:US
Mailing Address - Phone:843-977-2677
Mailing Address - Fax:843-829-4770
Practice Address - Street 1:159 CIVITAS ST STE 203
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2201
Practice Address - Country:US
Practice Address - Phone:843-977-2677
Practice Address - Fax:843-829-4770
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD186232084P0800X
NC2016-008112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC18623OtherLICENSE