person
Mr. Mark S Principe, PA-C
Medical Physician Assistant in Mt Pleasant, South Carolina
NPI 1023017993

Mark S Principe is a Medical Physician Assistant based in Charlotte, SC and is specialized in Medical. Mark S Principe practices in Mt Pleasant, SC and has the professional credentials of PA-C. The NPI Number for Mark S Principe is 1023017993 and holds a License No. 583 (South Carolina).

The current practice location address for Mark S Principe is 180 Wingo Way, Mt Pleasant, SC and can be reached out via phone at 843-884-8045 and via fax at 843-881-5081.

Location: 180 Wingo Way, Mt Pleasant, SC, 28275-1649
person
Provider Profile Details
NPI Number
1023017993
Provider Name
Mark S Principe
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
180 Wingo Way, Mt Pleasant, SC, 28275-1649
Phone Number
843-884-8045
Fax Number
843-881-5081
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0431PA 05 SC
P00930476 01 SC RAILROAD MEDICARE ID-RSFPN
institution
Provider Business Practice Location Address Details
Address
180 Wingo Way
City
State
Zip
29464-1810
Phone Number
843-884-8045
Fax Number
843-881-5081
person
Provider Business Mailing Address Details
Address
180 Wingo Way
City
State
Zip
29464-1810
Phone Number
843-884-8045
Fax Number
843-881-5081
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
583 (South Carolina)
Definition
Definition to come...
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