Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 17731 | SC |
NPI | 1023014057 |
---|---|
Provider Name | Dr. Mark H Schecker |
First Address | Myrtle Beach, SC 29588-2902 |
Second Address | Myrtle Beach, SC 29588-2902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 29/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61401 | (02) | SC |
GP3473 | (05) | SC |