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Individual

DR. DAVID MATTHEW MACKNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 S SUTTON RD, STE 101, FORT MILL, SC 29715
(803) 328-6306
(803) 909-6451
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2022-01012
NC
207X00000X
Orthopaedic Surgery Physician
218276
NC
207X00000X
Orthopaedic Surgery Physician
Primary
87415
SC

Other

Enumeration date
04/14/2016
Last updated
10/13/2023
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