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Individual

DR. MARK MARATKA BRODIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, CHARLESTON, SC 29425
(843) 792-2911
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38285
SC
208M00000X
Hospitalist Physician
Primary
3825
SC

Other

Enumeration date
06/03/2015
Last updated
06/26/2018
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