Green, Mark S

Green, Mark S is an individual health care provider with primary practice located at 10040 Two Notch Rd , Columbia SC 29223-4396. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Mark S can be contacted via phone (803) 788-1153.

Contact Information

Primary practice address
10040 Two Notch Rd Columbia SC 29223-4396
Phone: (803) 788-1153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002321 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002321 South Carolina

Profile Details

NPI number 1396736336
LBN Legal business name Green, Mark S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Sep 18th, 2019 - about 5 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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