Individual
DR. MARK CHRISTOPHER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(312) 502-1127
Mailing address
PO BOX 602645, CHARLOTTE, NC 28260-2645
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-119576
IL
207P00000X
Emergency Medicine Physician
125049511
IL
207P00000X
Emergency Medicine Physician
Primary
32664
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326640
—
SC
Enumeration date
05/29/2007
Last updated
12/01/2020
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