Individual
MR. MARK THOMAS BILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
372 S HERLONG AVE, ROCK HILL, SC 29732
(803) 324-1160
(803) 324-2456
Mailing address
372 S HERLONG AVE, ROCK HILL, SC 29732
(803) 324-1160
(803) 324-2456
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
SC2687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3687
—
SC
Enumeration date
01/20/2006
Last updated
10/16/2007
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