Individual provider · Type 1 NPI

Dorothy Marie Mack, N.P.

Acute Care Nurse Practitioner · Charleston, SC

NPI number 1164513263 Active

Practice location

109 Bee St
Charleston, SC 29401-5703

Fax (843) 789-6186

Mailing address

135 Shadowmoss Pkwy
Charleston, SC 29414-6857

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X1992 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1164513263

Dorothy Marie Mack, N.P.'s National Provider Identifier is 1164513263, issued on Sep 27, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charleston, SC. The record was last updated on Jul 8, 2007.