Individual
MR. MARK JEFFREY MCCALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 873-7958
Mailing address
312 MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 873-7958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11124
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11124
BOARD OF EXAMINERS
SC
05
—
111248
—
SC
01
—
20-11124
DHEC
SC
Enumeration date
07/21/2005
Last updated
03/07/2023
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