Individual
DR. JOHN C MAIZE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 RUTLEDGE AVE FL 11, MSC 578, CHARLESTON, SC 29425-8903
(843) 792-9784
(843) 792-9804
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
009663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096639
—
SC
Enumeration date
01/11/2006
Last updated
11/05/2020
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