Individual
MARK LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 KINARD ST STE 200, NEWBERRY, SC 29108-2965
(803) 405-1900
(803) 405-1919
Mailing address
79 GIBBES ST, CHARLESTON, SC 29401-1806
(843) 937-9412
(843) 937-9412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23530
SC
Other
Enumeration date
04/11/2006
Last updated
06/07/2019
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