Healthcare Provider Details
I. General information
NPI: 1578959250
Provider Name (Legal Business Name): DAVID EDWARD MCCABE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/09/2015
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2085 HENRY TECKLENBURG DR STE 310
CHARLESTON SC
29414-7713
US
IV. Provider business mailing address
PO BOX 751649
CHARLOTTE NC
28275-1649
US
V. Phone/Fax
- Phone: 843-266-5500
- Fax: 843-606-8007
- Phone: 888-472-0043
- Fax: 843-724-2440
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 83939 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: