Individual
DR. MARK THOMAS BURBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9313 MEDICAL PLAZA DR STE 103, NORTH CHARLESTON, SC 29406-9802
(843) 790-8280
(843) 974-8500
Mailing address
9313 MEDICAL PLAZA DR STE 103, NORTH CHARLESTON, SC 29406-9802
(843) 790-8280
(843) 974-8500
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
36500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365009
—
SC
Enumeration date
09/14/2007
Last updated
10/11/2024
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