Individual
DR. JOHN R MARINO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3510 HIGHWAY 17 BYP N STE 220, MT PLEASANT, SC 29466-8245
(843) 853-3474
(843) 853-3500
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
131
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00832519
RAILROAD MEDICARE ID-RSFPN
SC
05
—
PD1313
—
SC
Enumeration date
07/29/2005
Last updated
01/28/2019
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