Edifel N Macatuno, M.D.
Pediatrics, Adolescent Medicine in Spartanburg, SC. Individual provider (NPI-1).
NPI number1649219585
StatusActive
Last updated in NPPESFeb 4, 2021
Details
- NPI
- 1649219585
- Entity type
- Individual (NPI-1)
- Name
- Edifel N Macatuno
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Certification date
- Feb 4, 2021
- Last updated
- Feb 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 23575 | SC | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | m23575 | SC |
Practice location
101 E Wood StSpartanburg, SC 29303-3040
Phone 864-560-6287 · Fax 864-560-7091
Mailing address
Po Box 743070Atlanta, GA 30374-3070
Phone 864-560-4304 · Fax 864-560-4413
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