Individual
MACDONALD MAYES DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 CHURCH ST, SUMTER, SC 29150-4256
(803) 775-1001
(803) 774-1012
Mailing address
244 CHURCH ST, SUMTER, SC 29150-4256
(803) 775-1001
(803) 774-1012
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225412
—
SC
Enumeration date
12/22/2005
Last updated
05/22/2025
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