Timothy Macon in Goose Creek - Independent Duty Corpsman
Timothy Macon - NPI 1164499513
Timothy Macon is a Independent Duty Corpsman in Goose Creek, South Carolina. Timothy Macon practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Timothy Macon is 1164499513. The last update date is 2007-07-08.
Timothy Macon's current location address is 123 Sully St, Goose Creek, South Carolina. You can contact this provider via phone number 8437970003. The mailing address for Timothy Macon is 123 Sully St, Goose Creek, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Macon |
|---|---|
| Address | 123 Sully St, Goose Creek, South Carolina |
| Phone Number | 8437970003 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SFIDC |
NPI Number Detail
| NPI Number | 1164499513 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 Sully St |
|---|---|
| City | Goose Creek |
| State | South Carolina (SC) |
| Post Code | 294455447 |
| Phone Number | 8437970003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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What is the unique identifier code issued to Timothy Macon by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Macon has been assigned the NPI (National Provider Identifier) 1164499513. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Timothy Macon is located?
The Timothy Macon is situated at the following address: 123 Sully St, Goose Creek, SC, 294455447.
What is Timothy Macon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Macon's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did the Timothy Macon receive its 1164499513 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Macon was assigned its 1164499513 by the Centers for Medicare & Medicaid Services on 2006-03-03.
When was the information related to Timothy Macon most recently updated or refreshed?
The details pertaining to the Timothy Macon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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