Provider Demographics
NPI:1619613601
Name:SAYEGH, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:SAYEGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 CONGAREE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2868
Mailing Address - Country:US
Mailing Address - Phone:864-751-1913
Mailing Address - Fax:864-751-1964
Practice Address - Street 1:439 CONGAREE RD STE 8
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2868
Practice Address - Country:US
Practice Address - Phone:864-751-1913
Practice Address - Fax:864-751-1964
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0608253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care