Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. MARK ANTHONY CHISHOM DMD

Surgery Yellow Pages

Elgin, South Carolina

Provider NPI: 1417908328

Provider Information:
DR. MARK ANTHONY CHISHOM DMD


Practice Location:
102 BUCKTHORN CIR  ELGIN, SC 29045 US
Tel: 803-477-4909  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
SC3253
N1223S0112XDental Providers
Dentist
GADN014013

Other Provider Identifiers:

IssuerNumberStateType
ZX3253SC05
UNITED CONCORDIA11736401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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