Organization
STONEVIEW INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS E BLACKSTONE MD (PRESIDENT)
(864) 963-8002
Entity
Organization
Contact information
Practice address
727 E MAIN STREET SUITE 300, SIMPSONVILLE, SC 29681-0279
(864) 963-8002
(864) 963-2742
Mailing address
PO BOX 279, 727 E MAIN STREET SUITE 300, SIMPSONVILLE, SC 29681-0279
(864) 963-8002
(864) 963-2742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15537
SC
207R00000X
Internal Medicine Physician
18747
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366453458
NPI
—
01
—
1497766588
NPI
—
05
—
6P28H2
—
SC
Enumeration date
12/11/2006
Last updated
06/18/2012
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