Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 17156 | SC |
NPI | 1013910595 |
---|---|
Provider Name | Mark R Stokes |
First Address | Florence, SC 29501-3429 |
Second Address | Florence, SC 29501-3429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 01/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
171566 | (05) | SC |
180022655 | RAILROAD MEDICARE (01) | SC |
276366 | PRIVATE HEALTHCARE SYSTEM (01) | SC |
4511548 | AETNA (01) | SC |
622035 | SELECT HEALTH (01) | SC |
890602G | (05) | NC |
9624212 | GHI (01) | SC |
F09648 | (02) | SC |
S327576 | CIGNA (01) | SC |