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1205858339
MARK DOUGLAS SUPROCK
HUNTERSVILLE, NC
NPI
1205858339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NC 200601156)
Enumeration Date
2006-07-25
Last Update Date
2021-12-23
Business Address
Dr. MARK DOUGLAS SUPROCK MD
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078-7217
Phone number: 704-323-2800
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Mailing Address
Dr. MARK DOUGLAS SUPROCK MD
4601 PARK RD STE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2237
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