Waldrop, Mark Anthony

Waldrop, Mark Anthony is an individual health care provider with primary practice located at 2515 Evans St , Newberry SC 29108-2939. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics is his primary health care specialty. Waldrop, Mark Anthony can be contacted via phone (803) 276-7370.

Contact Information

Primary practice address
2515 Evans St Newberry SC 29108-2939
Phone: (803) 276-7370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 2102 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 2102 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2102 South Carolina

Profile Details

NPI number 1689657264
LBN Legal business name Waldrop, Mark Anthony
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1689657264 NPPES
South Carolina MEDICAID TH0650

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