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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY MACON, SFIDC

Active

MR. TIMOTHY MACON, SFIDC is a Independent Duty Corpsman healthcare provider located in GOOSE CREEK, South Carolina. NPI 1164499513 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · GOOSE CREEK, SC

Registration Details

NPI Number
1164499513
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2006 (20.41359725803 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
123 SULLY ST
GOOSE CREEK, SC, 294455447
Browse SC providers · Browse ZIP 29445
Phone
8437970003
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in GOOSE CREEK, SC

Name Credential NPI
MR. KELLY LYNN YOUNGERMAN IDC 1932281102
MR. CHRISTOPHER M FRANKLIN 1639675341
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.