Individual
MARK ALLEN BECHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1680 RIBAUT RD, PORT ROYAL, SC 29935-2008
(843) 524-3344
(844) 295-9894
Mailing address
PO BOX 531797, ATLANTA, GA 30353-1797
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-00859
NC
207Q00000X
Family Medicine Physician
TL996
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009966
—
SC
05
—
1962493361
—
NC
01
—
P00349261
RAILROAD MEDICARE
SC
Enumeration date
11/03/2005
Last updated
03/23/2021
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