Individual
E MACDONALD DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 CHURCH ST, SUMTER, SC 29150-4256
(803) 773-4411
(803) 774-2204
Mailing address
240 CHURCH ST, SUMTER, SC 29150-4256
(803) 773-4411
(803) 774-2204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7344
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073440
—
SC
Enumeration date
12/22/2005
Last updated
11/30/2010
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