Individual
MR. MARK ARIAIL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 ANSON DR, COLUMBIA, SC 29229-7434
(803) 920-7846
Mailing address
630 ANSON DR, COLUMBIA, SC 29229-7434
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67311
SC
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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