Individual
MARK A AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 601862, CHARLOTTE, NC 28260-1862
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL25652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256528
—
SC
Enumeration date
01/18/2008
Last updated
03/17/2009
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