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Individual

MARK JOHNSON QUARTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16908
SC
207ND0101X
MOHS-Micrographic Surgery Physician
16908
SC
207ND0900X
Dermatopathology Physician
16908
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
JL7847
SC
Enumeration date
01/18/2007
Last updated
09/30/2025
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