Individual
DR. MARK AUSTIN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 CHERRY ST, DARLINGTON, SC 29532-3904
(843) 393-5831
Mailing address
110 CHERRY ST, DARLINGTON, SC 29532-3904
(843) 393-5831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4128
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4128
—
SC
Enumeration date
04/19/2007
Last updated
10/02/2008
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