Individual
MARK VANSWOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
(864) 725-4883
Mailing address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
(864) 725-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18585
SC
Other
Enumeration date
07/02/2006
Last updated
11/04/2021
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