NPI 1063041143
Justin Mack
Practice location
- Address
- 1951 Pisgah Rd STE 122, Florence, SC 29501-6705
- Phone
- (843) 413-2854
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1063041143
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Apr 2020
- Record last updated
- 7 Oct 2021
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.