Stellingworth, Mark A
Stellingworth, Mark A is an individual health care provider with primary practice located at 701 Medical Park Dr Ste 301 , Hartsville SC 29550-4779. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Stellingworth, Mark A can be contacted via phone (843) 383-5978.Contact Information
Primary practice address
701 Medical Park Dr Ste 301
Hartsville SC 29550-4779
Phone: (843) 383-5978
Fax: (843) 383-5977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 36377 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 024969 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36377 | South Carolina |
Profile Details
| NPI number | 1003000936 |
|---|---|
| LBN Legal business name | Stellingworth, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Jun 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003000936 | NPPES |
| South Carolina | Other | TL36377 | MEDICAL LICENSE |
| South Carolina | Other | 024969 | MEDICAL LICENSE |
| South Carolina | MEDICAID | 363779 | MEDICAL LICENSE |
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