Mark S Principe, PA-C
Physician Assistant, Medical in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1023017993
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1023017993
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark S Principe
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2005
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 583 | SC | Yes |
Practice location
180 Wingo WaySuite 304
Mt Pleasant, SC 29464-1810
Phone 843-884-8045 · Fax 843-881-5081
Mailing address
Po Box 751649Charlotte, NC 28275-1649
Phone 843-789-1620 · Fax 843-724-2440
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All 17 Medical Physician Assistant providers in Mt Pleasant · All 1,557 providers in Mt Pleasant
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