MEDICARE: DR. MARK H SCHECKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	17731	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023014057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK H SCHECKER M.D.

Provider Business Mailing Address
First Line	:	3516 CADUCEUS DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2902
Country	:	US
Telephone Number	:	843-293-0093
Fax Number	:	843-293-0096

Provider Business Practice Location Address
First Line	:	3516 CADUCEUS DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2902
Country	:	US
Telephone Number	:	843-293-0093
Fax Number	:	843-293-0096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/29/2010

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Directions to “ DR. MARK H SCHECKER M.D.” Practice Location

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