Individual
DR. MARK DEE FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 NELSON BLVD, KINGSTREE, SC 29556-4027
(843) 355-0201
Mailing address
500 NELSON BLVD, KINGSTREE, SC 29556-4027
(843) 355-0201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126768
—
SC
Enumeration date
09/22/2005
Last updated
07/09/2013
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