Individual
LAYNE ALAN MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2010
(843) 724-2005
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
83960
SC
207P00000X
Emergency Medicine Physician
Primary
83960
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83960
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839604
—
SC
Enumeration date
04/02/2015
Last updated
03/08/2021
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