Mccall, Mark Jeffrey

Mccall, Mark Jeffrey is an individual health care provider with primary practice located at 312 Midland Pkwy , Summerville SC 29485-8102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mccall, Mark Jeffrey can be contacted via phone (843) 875-6262.

Contact Information

Primary practice address
312 Midland Pkwy Summerville SC 29485-8102
Phone: (843) 875-6262
Fax: (843) 873-7958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11124 South Carolina

Profile Details

NPI number 1205836145
LBN Legal business name Mccall, Mark Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Mar 7th, 2023 - about 3 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 1205836145 NPPES
South Carolina MEDICAID 111248
South Carolina Other 20-11124
South Carolina Other 11124

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