Provider Demographics
NPI:1851506190
Name:MACATOL, JOSHUA NATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NATHAN
Last Name:MACATOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1241 WOODLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-824-0606
Mailing Address - Fax:843-824-9125
Practice Address - Street 1:1241 WOODLAND AVENUE
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-824-0606
Practice Address - Fax:843-824-9125
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010822532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology