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Individual

DAVID MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-8299
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
LL52603
SC

Other

Enumeration date
06/17/2018
Last updated
06/17/2018
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