Wingo, Marshall Scott

Wingo, Marshall Scott is an individual health care provider with primary practice located at 2687 Lake Park Dr , North Charleston SC 29406-9100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wingo, Marshall Scott can be contacted via phone (843) 572-1010.

Contact Information

Primary practice address
2687 Lake Park Dr North Charleston SC 29406-9100
Phone: (843) 572-1010
Fax: (843) 569-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 24132 South Carolina

Profile Details

NPI number 1831395334
LBN Legal business name Wingo, Marshall Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jul 31st, 2012 - about 12 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 1831395334 NPPES
South Carolina MEDICAID 241321

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