Individual
DR. MARK JEFFREY ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S HERLONG AVE, SUITE A, ROCK HILL, SC 29732-3399
(803) 328-1864
(803) 328-1865
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
200001456
NC
207Y00000X
Otolaryngology Physician
Primary
MD 19159
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01146093
AMERIGROUP COMMUNITY CARE
SC
01
—
152HJ
BCBSNC
NC
05
—
191599
—
SC
01
—
20040529
SELECT HEALTH OF SC/FIRST CHOICE
SC
01
—
3108752
MAMSI
—
01
—
3150341
AETNA
—
01
—
738506
COVENTRY
NC
01
—
773586
WELLCARE
SC
01
—
85378
CHC CARES OF SC
SC
01
—
C5520
MEDCOST
—
01
—
P00059548
MEDICARE RR
—
Enumeration date
03/28/2006
Last updated
04/26/2021
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