NPI 1891710463 · live from the CMS NPI Registry
Michelle C Mccusker, MD
Obstetrics & Gynecology, Gynecology in Summerville, SC. National Provider Identifier 1891710463, active.
NPI record
| NPI | 1891710463 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 104-B Morgan Pl, Summerville, SC 29485 |
| Practice phone | 843-851-3800 |
| Mailing address | Po Box 50367, Summerville, SC 29485 |
| Enumerated | July 13, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 16480 (SC) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | 16480 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.