Charles Patrick McDonald Jr., NP
Nurse Practitioner, Family in Cheraw, SC. Individual provider (NPI-1).
NPI number1164061834
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1164061834
- Entity type
- Individual (NPI-1)
- Name
- Charles Patrick McDonald Jr.
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 227468 | SC | Yes |
Practice location
316 2nd StCheraw, SC 29520-2404
Phone 843-292-0600
Mailing address
316 2nd StCheraw, SC 29520-2404
Phone 843-292-0600
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