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Individual

DR. MARK U ESCOBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
121 SPARKLEBERRY CROSSING RD, SUITE 200, COLUMBIA, SC 29229-8639
(803) 788-2167
(803) 788-4165
Mailing address
121 SPARKLEBERRY CROSSING RD, SUITE 200, COLUMBIA, SC 29229-8639
(803) 788-2167
(803) 788-4165

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2360
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH2360
SC
Enumeration date
06/06/2006
Last updated
07/08/2014
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