Individual
DR. DAVID MARK COUNTRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
109 BEE ST., DEPT OF SURGERY (112) CHARLESTON VA MEDICAL CENTER, CHARLESTON, SC 29401
(228) 239-7068
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33352
NC
208600000X
Surgery Physician
9258
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1555262
MEDICARE RAIL ROAD
NC
Enumeration date
07/08/2006
Last updated
10/11/2016
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