Individual
DR. PINCKNEY JOHNSTONE MAXWELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
025237
LA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD433246
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172740
—
NJ
05
—
102200676 0001
—
PA
Enumeration date
08/22/2006
Last updated
10/22/2020
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