Male or Other

Mark J. Siegel M.D.

Dermatology Physician in Charleston, SC(View on Map)

Full Name

Mark Joseph Siegel M.D.

NPI Number

1437536463

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/28/2015

Specialties

(Taxonomies)

Code

207N00000X
208000000X

Primary Taxonomy

Yes
No

Licenses

State

South Carolina

License Number

38050

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 751461
169 ASHLEY AVE

City

Charlotte
Charleston

State

NC
SC

Postal Code

28275-1461
29425

Country

US
US

Telephone Number

(843) 792-6200
(843) 792-3876

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/17/2022

Provider Address

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