Individual
JONATHAN E MACCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 HOSPITAL CENTER BLVD STE 300, HILTON HEAD ISLAND, SC 29926-2739
(843) 682-2800
(843) 682-2828
Mailing address
6301 ABERCORN ST, SAVANNAH, GA 31405-5701
(912) 352-8700
(912) 650-6805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28629
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC2049
RAILROAD MEDICARE
SC
Enumeration date
05/22/2006
Last updated
05/19/2020
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