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Contact Information

MARK S PACK, MD
805 PAMPLICO HWY STE A230
FLORENCE, SC29505-6057
 Phone: 843-669-1220
 Fax: 843-669-3725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK S PACK · (Male)

NPI Number 1952395709
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 03/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 28407
  • OH License # 35074195P
  • SC License # 35481
  • SC Medicaid 354814
Hospital affiliation(s)
  • CAROLINAS HOSPITAL SYSTEM - (Acute Care)
    805 PAMPLICO HWY BOX 100550
    FLORENCE, SC 29505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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