Individual
MARK H PRINCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 CONGAREE RD, GREENVILLE, SC 29607-3519
(864) 458-7289
(864) 458-9462
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
012832
SC
207Q00000X
Family Medicine Physician
Primary
12832
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128329
—
SC
01
—
215514
MEDCOST
SC
01
—
7004322
AETNA
SC
Enumeration date
05/31/2006
Last updated
10/31/2024
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