Bahan, Marc G

Bahan, Marc G is an individual health care provider with primary practice located at 2845 E Highway 76 Suite 5, Mullins SC 29574-6037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bahan, Marc G can be contacted via phone (843) 431-2650.

Contact Information

Primary practice address
2845 E Highway 76 Suite 5 Mullins SC 29574-6037
Phone: (843) 431-2650
Fax: (843) 431-2647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19378 South Carolina

Profile Details

NPI number 1629002282
LBN Legal business name Bahan, Marc G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629002282 NPPES
South Carolina MEDICAID RHC121
South Carolina Other RHC203
South Carolina Other GP9493
South Carolina MEDICAID GP5462

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