Individual
ANDREW J. MCMARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
966 HOUSTON NORTHCUTT BLVD STE E, MOUNT PLEASANT, SC 29464-3487
(843) 471-0375
Mailing address
966 HOUSTON NORTHCUTT BLVD STE E, MOUNT PLEASANT, SC 29464-3487
(843) 471-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1530
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
1530
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015307
—
SC
Enumeration date
04/16/2006
Last updated
03/13/2020
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