Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 40945 | SC |
NPI | 1104142223 |
---|---|
Provider Name | Dr. Malcolm Daniel Eggart |
First Address | Charlotte, NC 28260-3539 |
Second Address | Murrells Inlet, SC 29576-5098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2010 |
Last Update Date | 20/06/2017 |