Mark C Pettus, MD
Internal Medicine, Nephrology in Mt Pleasant, South Carolina
1528055209- Practice location
- 3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260
- Phone
- 843-884-4810
- Fax
- —
- Last updated
- July 8, 2007
Mark C Pettus is an Internal Medicine, Nephrology based in Mt Pleasant, SC. Mark C Pettus practices in Mt Pleasant, SC and has the professional credentials of MD. The NPI Number for Mark C Pettus is 1528055209 and holds a License No. 28214 (SC). The current practice location address for Mark C Pettus is 3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260 and can be reached out via phone at 843-884-4810.
Provider Profile Details
- NPI Number
- 1528055209
- Provider Name
- Mark C Pettus
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260
- Phone Number
- 843-884-4810
- Primary Taxonomy
- Internal Medicine, Nephrology · 207RN0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 29, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3578 Toomer Kiln Cir
Mt Pleasant, SC 29466-9260 - City
- Mt Pleasant
- State
- South Carolina
- Zip
- 29466-9260
- Phone Number
- 843-884-4810
Provider Business Mailing Address Details
- Address
- 138 Patricia Ave
Dalton, MA 01226-2045 - City
- Dalton
- State
- MA
- Zip
- 01226-2045
- Phone Number
- 413-684-2305
License Information
- License Number
- 28214
- License State
- SC
- Taxonomy
- Internal Medicine, Nephrology · 207RN0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Nephrology providers near Mt Pleasant, SC
View all Internal Medicine, Nephrology providers in Mt Pleasant →Frequently Asked Questions
What is the NPI number of Mark C Pettus, MD?
The NPI number of Mark C Pettus, MD is 1528055209. It was assigned on September 29, 2005 and is currently active in the NPPES registry.
What is the specialty of Mark C Pettus, MD?
Mark C Pettus, MD is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in SC under license number 28214.
Where does Mark C Pettus, MD practice?
The practice location is 3578 Toomer Kiln Cir, Mt Pleasant, SC 29466-9260. The office can be reached at 843-884-4810 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528055209 directly on the NPPES registry website.