Individual
MACDONELL JOSEPH STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-5035
(843) 402-5036
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
94790
SC
2084N0400X
Neurology Physician
LP04930
RI
Other
Enumeration date
05/21/2020
Last updated
07/23/2025
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