Quarterman, Mark Johnson

Quarterman, Mark Johnson is an individual health care provider with primary practice located at 2022 Cardinal Cir , Anderson SC 29621-1504. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Quarterman, Mark Johnson can be contacted via phone (864) 224-7577.

Contact Information

Primary practice address
2022 Cardinal Cir Anderson SC 29621-1504
Phone: (864) 224-7577
Fax: (864) 225-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 16908 South Carolina
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 16908 South Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16908 South Carolina

Profile Details

NPI number 1275685000
LBN Legal business name Quarterman, Mark Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Oct 6th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275685000 NPPES
South Carolina MEDICAID JL7847

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