Individual
DR. MARK ANDREW MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
135 CHARTER OAK RD, LEXINGTON, SC 29072-9246
(803) 785-4040
(803) 785-6275
Mailing address
PO BOX 2378, LEXINGTON, SC 29071-2378
(803) 785-4040
(803) 785-6275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3939
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3939
STATE LICENSE NUMBER
SC
Enumeration date
06/28/2006
Last updated
07/08/2007
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