Macilwaine, John Courtenay

Macilwaine, John Courtenay is an individual health care provider with primary practice located at 125 Doughty St Suite 280, Charleston SC 29403-5736. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Macilwaine, John Courtenay can be contacted via phone (843) 769-9450.

Contact Information

Primary practice address
125 Doughty St Suite 280 Charleston SC 29403-5736
Phone: (843) 769-9450
Fax: (843) 769-9450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101036674 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 29539 South Carolina

Profile Details

NPI number 1962496802
LBN Legal business name Macilwaine, John Courtenay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 17th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962496802 NPPES
South Carolina MEDICAID 295399
South Carolina Other P00946935

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