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1528283488
JOHN WILLIAM MCGILLICUDDY
CHARLESTON, SC
NPI
1528283488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC 27803)
Additional Taxonomies
208600000X Surgery
(Licence: MI 4301072012)
Enumeration Date
2007-04-16
Last Update Date
2020-10-22
Business Address
Dr. JOHN WILLIAM MCGILLICUDDY m.d.
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-3368
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Mailing Address
Dr. JOHN WILLIAM MCGILLICUDDY m.d.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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