Individual
DR. MARC EDWARD HEINCELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32854
SC
207R00000X
Internal Medicine Physician
LL32854
SC
208M00000X
Hospitalist Physician
Primary
32854
SC
Other
Enumeration date
06/16/2010
Last updated
11/02/2020
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