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Dr. Mark David Wild, MD
Obstetrics & Gynecology Physician in West Columbia, South Carolina
NPI 1891759916

Mark David Wild is a Obstetrics & Gynecology Physician based in Atlanta, SC. Mark David Wild practices in West Columbia, SC and has the professional credentials of MD. The NPI Number for Mark David Wild is 1891759916 and holds a License No. 20467 (South Carolina).

The current practice location address for Mark David Wild is 2728 Sunset Blvd Ste 201, West Columbia, SC and can be reached out via phone at 803-254-1300 and via fax at 803-771-7597. You can also correspond with Mark David Wild through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 2728 Sunset Blvd Ste 201, West Columbia, SC, 30374-3904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891759916
Provider Name
Mark David Wild
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2728 Sunset Blvd Ste 201, West Columbia, SC, 30374-3904
Phone Number
803-254-1300
Fax Number
803-771-7597
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204674 05 SC
institution
Provider Business Practice Location Address Details
Address
2728 Sunset Blvd Ste 201
City
West Columbia
State
South Carolina
Zip
29169-4837
Phone Number
803-254-1300
Fax Number
803-771-7597
person
Provider Business Mailing Address Details
Address
Po Box 743904
City
Atlanta
State
Georgia
Zip
30374-3904
Phone Number
803-296-7320
Fax Number
803-296-7330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
20467 (South Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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