Individual
ENON MACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
(843) 847-3247
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
(843) 847-3247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241487
NY
207R00000X
Internal Medicine Physician
Primary
30161
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301612
—
SC
Enumeration date
09/28/2006
Last updated
04/14/2010
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