Individual
DR. MARK WARREN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Mailing address
9263 MEDICAL PLAZA DR, STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(877) 561-7564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28779
SC
208VP0000X
Pain Medicine Physician
28779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287790
—
SC
Enumeration date
06/13/2006
Last updated
06/01/2012
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