Individual
DR. MARK R ZULKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
592
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T00996
—
SC
Enumeration date
01/23/2006
Last updated
12/01/2009
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