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Individual

ELIZABETH HAYES MACK

Active
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Individual

ELIZABETH HAYES MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
09/03/2026
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