Whalio Doctors

NPI 1073066932

Mark J Segal MD LLC

Organisation Specialist Charleston, SC

Practice location

Address
2097 Henry Tecklenburg Dr Suite 212w, Charleston, SC 29414-5740
Phone
(843) 284-8532
Fax
(888) 397-0276
Mailing address
5 Forest Trail CT 2, Isle of Palms, SC 29451-2515

Authorised official

Name
Mark J Segal
Title
Owner
Phone
(843) 284-8532

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 19043 (SC)

Registry record

NPI
1073066932
Entity type
Organization
NPI issued
27 Jul 2016
Record last updated
27 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.