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1003158908
MARK DEFORD
NORTH CHARLESTON, SC
NPI
1003158908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: SC 82277)
Enumeration Date
2013-03-19
Last Update Date
2022-11-18
Business Address
MARK DEFORD M.D.
2600 ELMS PLANTATION BLVD
NORTH CHARLESTON, SC 29406-9164
Phone number: 843-764-3500
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Mailing Address
MARK DEFORD M.D.
26 WOODFORD ST
DANIEL ISLAND, SC 29492-8046
Phone number: 843-790-9669
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