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Dr. David Macy Vidrine, MD
Pediatric Otolaryngology Physician in Lugoff, South Carolina
NPI 1447293121

David Macy Vidrine is a Pediatric Otolaryngology Physician based in Lugoff, SC and is specialized in Pediatric Otolaryngology. David Macy Vidrine practices in Lugoff, SC and has the professional credentials of MD. The NPI Number for David Macy Vidrine is 1447293121 and holds a License No. 226983 (South Carolina).

The current practice location address for David Macy Vidrine is 15 Exchange Dr, Lugoff, SC and can be reached out via phone at 803-408-3277 and via fax at 803-408-3282.

Location: 15 Exchange Dr, Lugoff, SC, 29078-0520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447293121
Provider Name
David Macy Vidrine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Exchange Dr, Lugoff, SC, 29078-0520
Phone Number
803-408-3277
Fax Number
803-408-3282
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301177 05 SC
DE5192 01 SC UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
15 Exchange Dr
City
Lugoff
State
South Carolina
Zip
29078-9198
Phone Number
803-408-3277
Fax Number
803-408-3282
person
Provider Business Mailing Address Details
Address
15 Exchange Dr
City
Lugoff
State
South Carolina
Zip
29078-9198
Phone Number
803-408-3277
Fax Number
803-408-3282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
207YP0228X
License No.
226983 (Massachusetts)
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
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