Individual
MR. MARK STEVEN GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7315
Mailing address
787 LAROCHE ST, CHARLESTON, SC 29412-5033
(843) 789-7315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
507
SC
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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