Dr. John R Marino Sr., DPM
in Mt Pleasant, SC. Individual provider (NPI-1).
NPI number1346240579
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1346240579
- Entity type
- Individual (NPI-1)
- Name
- Dr. John R Marino Sr.
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2005
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | 131 | SC | Yes |
Practice location
3510 Highway 17 Byp N Ste 220Mt Pleasant, SC 29466-8245
Phone 843-853-3474 · Fax 843-853-3500
Mailing address
Po Box 751649Charlotte, NC 28275-1649
Phone 843-789-1620 · Fax 843-724-2440
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