Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 18447 | MS |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 30143 | SC |
NPI | 1083839252 |
---|---|
Provider Name | Mark Alan Pierce |
First Address | Greenville, SC 29615-4536 |
Second Address | Anderson, SC 29621-7915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2007 |
Last Update Date | 30/10/2019 |