Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID MACY VIDRINE, M.D.
ActiveDR. DAVID MACY VIDRINE, M.D. is a Pediatric Otolaryngology healthcare provider located in LUGOFF, South Carolina. NPI 1447293121 is currently active in the NPPES registry. Verify at CMS.
Pediatric Otolaryngology · LUGOFF, SC
Registration Details
- NPI Number
- 1447293121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (20.201996796544 yrs)
- Last Updated
- May 26, 2020
- Licenses
-
226983 (MA)30117 (SC)
Practice Information
- Address
-
15 EXCHANGE DRLUGOFF, SC, 290789198Browse SC providers · Browse ZIP 29078
- Phone
- 8034083277
- Fax
- 8034083282
- Primary Specialty
-
Pediatric Otolaryngology
207YP0228X
- Additional Specialty
- Pediatric Otolaryngology
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.