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NPI Code Detail

MEDICARE: DR. DALE EUGENE MARKO MD, PHD

MEDICARE:  DR. DALE EUGENE MARKO  MD, PHD
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
12084P0800XPsychiatry Physician28998SC

General Provider Information

NPI Number : 1750470019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE EUGENE MARKO MD, PHD
Provider Business Mailing Address
First Line : PO BOX 751461
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1461
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 67 PRESIDENT ST
Second Line : DEPARTMENT OF PSYCHIATRY, MUSC
City : CHARLESTON
State : SC
Zip : 29425-5712
Country : US
Telephone Number : 843-792-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 03/24/2014

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Directions to “ DR. DALE EUGENE MARKO MD, PHD” Practice Location

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