Macon, Timothy

Macon, Timothy is an individual health care provider with primary practice located at 123 Sully St , Goose Creek SC 29445-5447. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Macon, Timothy can be contacted via phone (843) 797-0003.

Contact Information

Primary practice address
123 Sully St Goose Creek SC 29445-5447
Phone: (843) 797-0003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1164499513
LBN Legal business name Macon, Timothy
Credentials SFIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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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