Individual
MARK LIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL; MSC333, CHARLESTON, SC 29425
(843) 876-4794
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL; MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD482428
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MMD.94855LL
SC
Other
Enumeration date
04/08/2021
Last updated
06/25/2025
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