Individual
DR. ELIZABETH ROSE MACKDIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-7710
(843) 792-1414
Mailing address
125 DOUGHTY ST MSC 917, CHARLESTON, SC 29425-5736
(843) 792-8315
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
84290
SC
Other
Enumeration date
05/09/2013
Last updated
10/12/2021
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