Provider Demographics
NPI:1295793537
Name:CURRY, MICHELLE MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARIA
Last Name:CURRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:LANGSTON
Other - Last Name:CARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:106 CREEKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-9540
Mailing Address - Country:US
Mailing Address - Phone:864-227-9891
Mailing Address - Fax:
Practice Address - Street 1:1325 SPRING ST
Practice Address - Street 2:LAKELANDS EMERGENCY PHYSICIANS, PA
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3860
Practice Address - Country:US
Practice Address - Phone:864-725-4799
Practice Address - Fax:864-725-4707
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23403207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT76959Medicaid
SCT76959Medicaid
SCG552741124Medicare PIN