Individual
RONALD JAMES MCVICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
(843) 576-2692
Mailing address
1849 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-7103
(843) 576-2692
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1621
SC
207Y00000X
Otolaryngology Physician
5101011938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016217
—
SC
Enumeration date
02/09/2006
Last updated
01/15/2013
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