Vidrine, David Macy

Vidrine, David Macy is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Vidrine, David Macy can be contacted via phone (803) 408-3277.

Contact Information

Primary practice address
15 Exchange Dr Lugoff SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 226983 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 30117 South Carolina

Profile Details

NPI number 1447293121
LBN Legal business name Vidrine, David Macy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 26th, 2020 - about 4 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 1447293121 NPPES
South Carolina MEDICAID 301177
South Carolina Other DE5192

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