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Individual

DR. JOHN C MAIZE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9295 MEDICAL PLAZA DR, SUITE A, CHARLESTON, SC 29406-9137
(843) 797-3960
(843) 553-4216
Mailing address
9295 MEDICAL PLAZA DR, SUITE A, CHARLESTON, SC 29406-9137
(843) 797-3960
(843) 553-4216

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
22238
SC
207ZD0900X
Dermatopathology (Pathology) Physician
22238
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222388
SC
Enumeration date
01/11/2006
Last updated
11/19/2014
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