Humphrey, Mark Edward

Humphrey, Mark Edward is an individual health care provider with primary practice located at 56 Us Highway 321 Byp N , Winnsboro SC 29180-7100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Humphrey, Mark Edward can be contacted via phone (803) 635-6343.

Contact Information

Primary practice address
56 Us Highway 321 Byp N Winnsboro SC 29180-7100
Phone: (803) 635-6343
Fax: (803) 635-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R1133 Kentucky
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 36168 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36168 South Carolina

Profile Details

NPI number 1801976402
LBN Legal business name Humphrey, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 15th, 2024 - about last year

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 1801976402 NPPES
South Carolina MEDICAID 361682

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