Individual
MR. MARK J MEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 SOCIETY HILL DR STE 100, AIKEN, SC 29803-1731
(803) 648-7774
(803) 648-7490
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 648-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16926
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
16926
SC
Other
Enumeration date
06/09/2005
Last updated
03/08/2019
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