Gauthier, Mark A

Gauthier, Mark A is an individual health care provider with primary practice located at 1600 Highway 17 N , Surfside Beach SC 29575-6015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gauthier, Mark A can be contacted via phone (843) 238-1461.

Contact Information

Primary practice address
1600 Highway 17 N Surfside Beach SC 29575-6015
Fax: (843) 828-0622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15530 South Carolina

Profile Details

NPI number 1467498709
LBN Legal business name Gauthier, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 16th, 2009 - about 15 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 1467498709 NPPES
South Carolina MEDICAID 155307

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