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1023017993
MARK S PRINCIPE
MT PLEASANT, SC
NPI
1023017993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 583)
Enumeration Date
2005-07-21
Last Update Date
2021-01-27
Business Address
Mr. MARK S PRINCIPE PA-C
180 WINGO WAY SUITE 304
MT PLEASANT, SC 29464-1810
Phone number: 843-884-8045
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Mailing Address
Mr. MARK S PRINCIPE PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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