Demoss, Mark A
Demoss, Mark A is an individual health care provider with primary practice located at 501C Memorial Dr Ext , Greer SC 29651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Demoss, Mark A can be contacted via phone (864) 877-1220.Contact Information
Primary practice address
501C Memorial Dr Ext
Greer SC 29651
Phone: (864) 877-1220
Fax: (864) 877-7731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20597 | South Carolina |
Profile Details
| NPI number | 1538172960 |
|---|---|
| LBN Legal business name | Demoss, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jun 5th, 2012 - about 12 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 | 1538172960 | NPPES |
| Other | 562212236 | CHAMPUS | |
| MEDICAID | GP2981 | CHAMPUS |
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