# MARK D. NAQUIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043564602
- **Authorized official:** MARK D NAQUIN MD (PRESIDENT)
- **Authorized official phone:** (864) 351-9516

## Contact information

- **Practice address:** 4211 TROLLEY LINE RD, AIKEN, SC 29801-2749
- **Practice address phone:** (803) 648-2840
- **Practice address fax:** (803) 648-8117
- **Mailing address:** PO BOX 1078, COWPENS, SC 29330-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 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