Healthcare Provider Details

I. General information

NPI: 1922203223
Provider Name (Legal Business Name): JOSEPH DAVID MARKOWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 HARDEN STREET EXT STE 141
COLUMBIA SC
29203
US

IV. Provider business mailing address

PO BOX 743904
ATLANTA GA
30374-3904
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-4300
  • Fax:
Mailing address:
  • Phone: 32-967-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME88558
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number23709
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: