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NPI Code Detail

MEDICARE: DR. MARK LIWANAG DO, MPH

MEDICARE:  DR. MARK  LIWANAG  DO, MPH
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
1207RC0000XCardiovascular Disease Physician95481SC
2207R00000XInternal Medicine Physician5101021270MI
3207RC0001XClinical Cardiac Electrophysiology Physician009640AZ

General Provider Information

NPI Number : 1932514858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK LIWANAG DO, MPH
Provider Business Mailing Address
First Line : 75 BAYLOR DR STE 155
Second Line :
City : BLUFFTON
State : SC
Zip : 29910-8965
Country : US
Telephone Number : 843-682-7480
Fax Number :
Provider Business Practice Location Address
First Line : 8 HOSPITAL CENTER BLVD STE 150
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-8701
Country : US
Telephone Number : 854-235-2730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 03/03/2026

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Directions to “ DR. MARK LIWANAG DO, MPH” Practice Location

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