Mack, Debra Anne
Mack, Debra Anne is an individual health care provider with primary practice located at 2850 Tricom St , North Charleston SC 29406-9192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mack, Debra Anne can be contacted via phone (843) 863-1188.Contact Information
Primary practice address
2850 Tricom St
North Charleston SC 29406-9192
Phone: (843) 863-1188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1598300840 |
|---|---|
| LBN Legal business name | Mack, Debra Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2019 |
| Last updated | Jul 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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