Individual
MARK A STELLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MEDICAL PARK DR STE 301, HARTSVILLE, SC 29550-4779
(843) 383-5978
(843) 383-5977
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
36377
SC
207RC0000X
Cardiovascular Disease Physician
024969
LA
207RC0000X
Cardiovascular Disease Physician
Primary
36377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024969
MEDICAL LICENSE
LA
05
—
363779
—
SC
01
—
TL36377
MEDICAL LICENSE
SC
Enumeration date
09/04/2007
Last updated
06/13/2022
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