Macdonald Mayes Dubose
Family Doctor - Geriatric Medicine
244 Church St
Sumter
, South Carolina 29150-4256
Macdonald Mayes Dubose
Family Doctor - Geriatric Medicine
244 Church St
Sumter
, South Carolina 29150-4256
(803) 774-1012
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Macdonald Mayes Dubose
- 244 Church St
- Sumter, SC
- Zip : 29150-4256
- Fax : (803) 774-1012
- Phone : (803) 775-1001
Second Address
- Macdonald Mayes Dubose
- 244 Church St
- Sumter, SC
- Zip : 29150-4256
- Fax : (803) 774-1012
- Phone : (803) 775-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 22541 | SC |
National Provider Identifier
| NPI | 1265418164 |
|---|---|
| Provider Name | Macdonald Mayes Dubose |
| First Address | Sumter, SC 29150-4256 |
| Second Address | Sumter, SC 29150-4256 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2005 |
| Last Update Date | 27/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 225412 | (05) | SC |
| H67520 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.