Individual
MARK JOSEPH SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MUSC333, CHARLESTON, SC 29425
(843) 792-3876
(843) 876-1435
Mailing address
570 LONG POINT RD STE 200, MT PLEASANT, SC 29464-7940
(843) 881-0320
(843) 881-5453
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38050
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38050
MEDICAL LICENSE
SC
05
—
380509
—
SC
Enumeration date
04/28/2015
Last updated
08/12/2025
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