=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235179854
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARRY STUART MARKWELL M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2006
-----------------------------------------------------
Last Update Date | 02/15/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 506 E CHEVES ST SUITE 202
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29506-2616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-777-7951
-----------------------------------------------------
Fax | 843-777-7981
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3239
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29502-3239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-777-7951
-----------------------------------------------------
Fax | 843-777-7981
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | 16640
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------