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Dr. David Macy Vidrine

Pediatric Otolaryngology

15 Exchange Dr
Lugoff , South Carolina 29078-9198

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Dr. David Macy Vidrine

Pediatric Otolaryngology

15 Exchange Dr
Lugoff , South Carolina 29078-9198

(803) 408-3282

Write a Review Save Call

Dr. David Macy Vidrine

Pediatric Otolaryngology

15 Exchange Dr
Lugoff , South Carolina 29078-9198

(803) 408-3282 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Otolaryngology

Languages spoken

  • English

Location

15 Exchange Dr Lugoff , South Carolina 29078-9198

First Address

  • Dr. David Macy Vidrine
  • Po Box 520
  • Lugoff, SC
  • Zip : 29078-0520
  • Fax : (803) 408-3282
  • Phone : (803) 408-3277

Second Address

  • Dr. David Macy Vidrine
  • 15 Exchange Dr
  • Lugoff, SC
  • Zip : 29078-9198
  • Fax : (803) 408-3282
  • Phone : (803) 408-3277

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FAQs


Where did Dr. David Macy Vidrine attend graduate school?

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Where did Dr. David Macy Vidrine do his residency?

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Where did Dr. David Macy Vidrine do his fellowship?

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Is Dr. David Macy Vidrine board certified?

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What type of doctor is Dr. David Macy Vidrine

Pediatric Otolaryngology

In what state does Dr. David Macy Vidrine practice in?

South Carolina

Where is Dr. David Macy Vidrine ’s practice located?

15 Exchange Dr , Lugoff, South Carolina, 29078-9198

What is Dr. David Macy Vidrine ’s gender?

Male

Is Dr. David Macy Vidrine a sole practitioner?

No

Is Dr. David Macy Vidrine accepting new patients?

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What languages does Dr. David Macy Vidrine speak?

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Does Dr. David Macy Vidrine accept insurance?

Yes, Dr. David Macy Vidrine accepts insurance

Does Dr. David Macy Vidrine offers telemedicine?

Dr. David Macy Vidrine has not indicated if he offers telemedicine

What is Dr. David Macy Vidrine ’s professional license number?

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What is Dr. David Macy Vidrine ’s NPI number?

1447293121

Does Dr. David Macy Vidrine have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207YP0228X Pediatric Otolaryngology 226983 MA
Y 207YP0228X Pediatric Otolaryngology 30117 SC

National Provider Identifier

NPI 1447293121
Provider Name Dr. David Macy Vidrine
First Address Lugoff, SC 29078-0520
Second Address Lugoff, SC 29078-9198
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/06/2006
Last Update Date 26/05/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
301177 (05) SC
DE5192 UNSPECIFIED (01) SC
H88895 (02) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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