Countryman, David Mark

Countryman, David Mark is an sole proprietor health care provider with primary practice located at 109 Bee St. Dept Of Surgery (112) Charleston Va Medical Center, Charleston SC 29401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Countryman, David Mark can be contacted via phone (228) 239-7068.

Contact Information

Primary practice address
109 Bee St. Dept Of Surgery (112) Charleston Va Medical Center Charleston SC 29401
Phone: (228) 239-7068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33352 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 9258 Mississippi

Profile Details

NPI number 1770516163
LBN Legal business name Countryman, David Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Oct 11th, 2016 - about 9 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 1770516163 NPPES
North Carolina Other 1555262 MEDICARE RAIL ROAD

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