Individual
MARK T. HOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6711
(803) 329-5120
Mailing address
PO BOX 2974, ROCK HILL, SC 29732-4974
(803) 985-4551
(803) 985-4543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17403
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174037
—
SC
01
—
A9380
MEDCOST
—
Enumeration date
10/17/2005
Last updated
06/23/2011
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