White, Mark Timothy
White, Mark Timothy is an individual health care provider with primary practice located at 1338 Highway 14 , Simpsonville SC 29681-5637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. White, Mark Timothy can be contacted via phone (864) 297-7091.Contact Information
Primary practice address
1338 Highway 14
Simpsonville SC 29681-5637
Phone: (864) 297-7091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15006 | South Carolina |
Profile Details
| NPI number | 1114997640 |
|---|---|
| LBN Legal business name | White, Mark Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 30th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114997640 | NPPES |
| South Carolina | MEDICAID | GP2352 |
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