MEDICARE: DR. MARK PHILLIP MERCIER 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	24578	SC

General Provider Information

NPI Number	:	1548220296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK PHILLIP MERCIER M.D.

Provider Business Mailing Address
First Line	:	100 WATER POINTE LN
Second Line	:
City	:	CHAPIN
State	:	SC
Zip	:	29036-7529
Country	:	US
Telephone Number	:	803-238-4684
Fax Number	:

Provider Business Practice Location Address
First Line	:	PALMETTO HEALTH BAPTIST HOSPITAL
Second Line	:	TAYLOR AT MARION ST.
City	:	COLUMBIA
State	:	SC
Zip	:	29220-0001
Country	:	US
Telephone Number	:	803-296-5050
Fax Number	:

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

Provider Enumeration Date	:	03/26/2006
Last Update Date	:	07/08/2007

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