Burbridge, Mark Thomas

Burbridge, Mark Thomas is an individual health care provider with primary practice located at 3510 N Highway 17 Ste 225 , Mt Pleasant SC 29466-8233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Burbridge, Mark Thomas can be contacted via phone (843) 881-5844.

Contact Information

Primary practice address
3510 N Highway 17 Ste 225 Mt Pleasant SC 29466-8233
Phone: (843) 881-5844
Fax: (843) 881-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 36500 South Carolina

Profile Details

NPI number 1477749208
LBN Legal business name Burbridge, Mark Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2007
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477749208 NPPES
South Carolina MEDICAID 365009

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