# JOHN C. MACILWAINE, M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194853168
- **Authorized official:** JOHN C. MACILWAINE M.D. (PHYSICIAN)
- **Authorized official phone:** (843) 769-9450

## Contact information

- **Practice address:** 125 DOUGHTY ST, SUITE 280, CHARLESTON, SC 29403-5736
- **Practice address phone:** (843) 769-9450
- **Practice address fax:** (843) 769-9451
- **Mailing address:** 125 DOUGHTY ST, SUITE 280, CHARLESTON, SC 29403-5736
- **Mailing address phone:** (843) 769-9450
- **Mailing address fax:** (843) 769-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 29539 | SC | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/19/2013