Individual
DR. MARK DOUGLAS SUPROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10315 HAMPTONS PARK DR, HUNTERSVILLE, NC 28078-7217
(704) 323-2800
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2237
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200601156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205858339
—
NC
05
—
N01150
—
SC
Enumeration date
07/25/2006
Last updated
12/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us