Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Macon, SFIDC

Individual provider Independent Duty Corpsman · NPI 1164499513

Mr. Timothy Macon, SFIDC is an Independent Duty Corpsman in Goose Creek, South Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

123 Sully St
Goose Creek, SC 29445-5447
Phone: (843) 797-0003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1164499513
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESJuly 8, 2007

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