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Organization
MARK D. NAQUIN MD PA
Active
Organization
MARK D. NAQUIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D NAQUIN MD (PRESIDENT)
(864) 351-9516
Entity
Organization
Contact information
Practice address
4211 TROLLEY LINE RD, AIKEN, SC 29801-2749
(803) 648-2840
(803) 648-8117
Mailing address
PO BOX 1078, COWPENS, SC 29330-1078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
NULL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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