Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 3914 | SC |
Y | 1223G0001X | General Practice | 3914 | SC |
Y | 213EG0000X | General Practice | 3914 | SC |
NPI | 1245385723 |
---|---|
Provider Name | Dr. Marc D Workman |
First Address | Greer, SC 29650-4466 |
Second Address | Greer, SC 29650-4466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/12/2021 |