Individual
MARK D MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6225
(864) 560-6757
Mailing address
PO BOX 138, COLUMBUS, GA 31902-0138
(800) 841-4236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12387
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123878
—
SC
05
—
890565E
—
NC
Enumeration date
05/01/2006
Last updated
02/26/2014
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