Individual
DR. MARK JOSEPH KRZYSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 COOK RD, STE 225, ORANGEBURG, SC 29118-8201
(803) 534-8723
(803) 536-0030
Mailing address
1175 COOK RD, STE 225, ORANGEBURG, SC 29118-8201
(803) 534-8723
(803) 536-0030
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
SC12677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA4003
—
SC
Enumeration date
01/02/2007
Last updated
01/12/2015
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