Provider Demographics
NPI:1295988996
Name:MACDONALD, CYNTHIA LEE (NP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LEE
Last Name:MACDONALD
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Gender:F
Credentials:NP
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Mailing Address - Street 1:9330 MEDICAL PLAZA DR
Mailing Address - Street 2:C/O COASTAL INPATIENT PHYSICIANS
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9104
Mailing Address - Country:US
Mailing Address - Phone:843-847-3225
Mailing Address - Fax:843-847-3247
Practice Address - Street 1:9330 MEDICAL PLAZA DR
Practice Address - Street 2:C/O COASTAL INPATIENT PHYSICIANS
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9104
Practice Address - Country:US
Practice Address - Phone:843-847-3225
Practice Address - Fax:843-847-3247
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
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Provider Licenses
StateLicense IDTaxonomies
SC88363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health