Individual
DR. TODD KEITH MAGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(726) 228-0297
(210) 539-9400
Mailing address
1708 OLD TROLLEY RD, SUMMERVILLE, SC 29485-8076
(843) 285-8555
(843) 285-8657
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30991
SC
2084P0802X
Addiction Psychiatry Physician
Primary
30991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309918
—
SC
Enumeration date
06/16/2008
Last updated
01/30/2025
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