Ross, Mark J

Ross, Mark J is an individual health care provider with primary practice located at 367 W Evans St , Florence SC 29501-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ross, Mark J can be contacted via phone (843) 669-4156.

Contact Information

Primary practice address
367 W Evans St Florence SC 29501-3429
Phone: (843) 669-4156
Fax: (843) 664-2121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11764 South Carolina

Profile Details

NPI number 1508869090
LBN Legal business name Ross, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 14th, 2024 - about 7 months 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 1508869090 NPPES
South Carolina Other 4254796 AETNA
South Carolina Other 9624212 AETNA
South Carolina Other 276873 AETNA
South Carolina MEDICAID 890602C AETNA
South Carolina Other 621812 AETNA
South Carolina MEDICAID AT6689 AETNA
South Carolina Other 180012103 AETNA
South Carolina Other S327574 AETNA

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