Doctor Name: | MARK A STELLINGWORTH |
NPI Number: | 1003000936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 024969 |
Business Practice Address: | 8 Richland Medical Park Dr Suite 100 Columbia, SC - 292038005 |
Business Phone Number: | 8034343800 |
Business Fax Number: | 8037442759 |
Mailing Address: | Po Box 402145, ATLANTA |
State: | GA |
Postal Code: | 303842145 |
Phone Number: | 8032967305 |
Fax Number: | 8032967330 |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 11/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 024969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |