Mack, Elizabeth Hayes

Mack, Elizabeth Hayes is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Mack, Elizabeth Hayes can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35088807 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24421 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 24421 South Carolina

Profile Details

NPI number 1073684593
LBN Legal business name Mack, Elizabeth Hayes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 12th, 2015 - about 10 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 1073684593 NPPES
South Carolina MEDICAID 244211

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