Individual
DR. MARK LEIF GREENSLIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1241 WOODLAND AVENUE, MOUNT PLEASANT, SC 29464
(843) 824-0606
(843) 824-0909
Mailing address
1241 WOODLAND AVENUE, MOUNT PLEASANT, SC 29464
(843) 824-0606
(843) 824-0909
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
ME 18991
SC
2085N0904X
Nuclear Radiology Physician
ME 18891
SC
2085P0229X
Pediatric Radiology Physician
ME 18891
SC
2085R0202X
Diagnostic Radiology Physician
ME18891
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME 18891
SC
2085U0001X
Diagnostic Ultrasound Physician
ME 18891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709
MEDICARE GROUP
SC
01
—
300065386
MEDICARE RR
—
01
—
717687
FIRST HEALTH
—
01
—
8683
MEDICARE GROUP
SC
05
—
T24943
—
SC
Enumeration date
08/07/2006
Last updated
07/25/2008
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