Individual
MARK SAMUEL SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 HIGH TIDE DR, BEAUFORT, SC 29906-5221
(843) 525-1500
(843) 525-6107
Mailing address
111 HIGH TIDE DR, BEAUFORT, SC 29906-5221
(843) 525-1500
(843) 525-6107
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23932
SC
Other
Enumeration date
01/18/2006
Last updated
10/14/2022
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