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NPI Code Detail

MEDICARE: DR. MARK ALAN BARTZ MD

MEDICARE:  DR. MARK ALAN BARTZ  MD
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
1207Q00000XFamily Medicine Physician12924SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212924OTHERSCSTATE LICENSE

General Provider Information

NPI Number : 1447300173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALAN BARTZ MD
Provider Business Mailing Address
First Line : 1506 SPRING STREET
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-4071
Country : US
Telephone Number : 864-227-3117
Fax Number : 864-227-1924
Provider Business Practice Location Address
First Line : 1506 SPRING STREET
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-4071
Country : US
Telephone Number : 864-227-3117
Fax Number : 864-227-1924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 01/02/2012

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Directions to “ DR. MARK ALAN BARTZ MD” Practice Location

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