Individual
ELIZABETH HAYES MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24421
SC
208000000X
Pediatrics Physician
35088807
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
24421
SC
208M00000X
Hospitalist Physician
24421
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244211
—
SC
Enumeration date
11/13/2006
Last updated
11/03/2025
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