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Dr. Mark Anthony Chishom

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

102 Buckthorn Cir
Elgin , South Carolina 29045-8695

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Dr. Mark Anthony Chishom

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

102 Buckthorn Cir
Elgin , South Carolina 29045-8695

(803) 477-4909

Write a Review Save Call

Dr. Mark Anthony Chishom

Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

102 Buckthorn Cir
Elgin , South Carolina 29045-8695

(803) 477-4909 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

102 Buckthorn Cir Elgin , South Carolina 29045-8695

First Address

  • Dr. Mark Anthony Chishom
  • 102 Buckthorn Cir
  • Elgin, SC
  • Zip : 29045-8695
  • Phone : (803) 477-4909

Second Address

  • Dr. Mark Anthony Chishom
  • 102 Buckthorn Cir
  • Elgin, SC
  • Zip : 29045-8695
  • Phone : (803) 477-4909

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FAQs


Where did Dr. Mark Anthony Chishom attend graduate school?

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Where did Dr. Mark Anthony Chishom do his residency?

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Where did Dr. Mark Anthony Chishom do his fellowship?

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Is Dr. Mark Anthony Chishom board certified?

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What type of doctor is Dr. Mark Anthony Chishom

Oral & Maxillofacial Surgeon

In what state does Dr. Mark Anthony Chishom practice in?

South Carolina

Where is Dr. Mark Anthony Chishom ’s practice located?

102 Buckthorn Cir , Elgin, South Carolina, 29045-8695

What is Dr. Mark Anthony Chishom ’s gender?

Male

Is Dr. Mark Anthony Chishom a sole practitioner?

No

Is Dr. Mark Anthony Chishom accepting new patients?

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What languages does Dr. Mark Anthony Chishom speak?

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Does Dr. Mark Anthony Chishom accept insurance?

Yes, Dr. Mark Anthony Chishom accepts insurance

Does Dr. Mark Anthony Chishom offers telemedicine?

Dr. Mark Anthony Chishom has not indicated if he offers telemedicine

What is Dr. Mark Anthony Chishom ’s professional license number?

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What is Dr. Mark Anthony Chishom ’s NPI number?

1417908328

Does Dr. Mark Anthony Chishom have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223S0112X Oral and Maxillofacial Surgeon DN014013 GA
Y 204E00000X Oral & Maxillofacial Surgeon 3253 SC

National Provider Identifier

NPI 1417908328
Provider Name Dr. Mark Anthony Chishom
First Address Elgin, SC 29045-8695
Second Address Elgin, SC 29045-8695
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/05/2006
Last Update Date 02/04/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
117364 UNITED CONCORDIA (01)
ZX3253 (05) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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