Glenn, Mark Dwight

Glenn, Mark Dwight is an individual health care provider with primary practice located at 3381 Phillis Blvd , Myrtle Beach SC 29577-1560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Glenn, Mark Dwight can be contacted via phone (843) 477-0177.

Contact Information

Primary practice address
3381 Phillis Blvd Myrtle Beach SC 29577-1560
Fax: (843) 839-1791
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13811 South Carolina

Profile Details

NPI number 1740294925
LBN Legal business name Glenn, Mark Dwight
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 23rd, 2015 - about 11 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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