Individual
MR. MARK ANTHONY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3725 RIVERS AVE, SUITE 2, NORTH CHARLESTON, SC 29405-7038
(843) 745-8647
Mailing address
688 MARSH POINT DR, CHARLESTON, SC 29412-9015
(843) 795-8851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9401
SC
Other
Enumeration date
06/11/2006
Last updated
03/03/2008
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