Individual
DR. DARREN JOSEPH MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 MEDICAL PARK DR, AIKEN, SC 29801-6307
(803) 716-8712
(803) 716-8713
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 716-8712
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71606
GA
Other
Enumeration date
06/17/2009
Last updated
03/08/2019
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