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1982998100
MARK LESLIE WITKOWSKI
MURRELLS INLET, SC
NPI
1982998100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IA R9182)
Enumeration Date
2011-06-06
Last Update Date
2024-10-30
Business Address
MARK LESLIE WITKOWSKI DO
4040 HIGHWAY 17 SUITE 202
MURRELLS INLET, SC 29576-5098
Phone number: 843-652-8390
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Mailing Address
MARK LESLIE WITKOWSKI DO
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone number: 843-652-8226
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