Individual
MARK DOUGLAS NETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 HOSPITAL DR, MT PLEASANT, SC 29464-3698
(843) 849-1551
(843) 884-0629
Mailing address
PO BOX 749340, ATLANTA, GA 30374-9340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16147
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
16147
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
16147
SC
Other
Enumeration date
08/29/2006
Last updated
12/23/2024
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