Individual provider · Type 1 NPI

Michael S. Whitaker

Family Nurse Practitioner · Columbia, SC

NPI number 1366569089 Active

Practice location

4500 8th Division Rd
Columbia, SC 29207-5700

Mailing address

424 Kettering Ct
Columbia, SC 29210-4200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X309 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1366569089

Michael S. Whitaker's National Provider Identifier is 1366569089, issued on Mar 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Jul 21, 2025.