Redwine, John Mark

Redwine, John Mark is an individual health care provider with primary practice located at 5325 Appian Way , Charleston SC 29420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Redwine, John Mark can be contacted via phone (843) 552-0400.

Contact Information

Primary practice address
5325 Appian Way Charleston SC 29420
Phone: (843) 552-0400
Fax: (843) 552-1618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13521 South Carolina

Profile Details

NPI number 1548227101
LBN Legal business name Redwine, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 10th, 2021 - about 4 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 1548227101 NPPES
South Carolina MEDICAID 135213
South Carolina Other GP6882
South Carolina Other 060041439

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