Individual
DR. MARK S. PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY STE A230, FLORENCE, SC 29505-6057
(843) 669-1220
(843) 669-3725
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28407
KY
208600000X
Surgery Physician
35074195P
OH
208600000X
Surgery Physician
Primary
35481
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354814
—
SC
Enumeration date
09/08/2005
Last updated
03/05/2021
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