Provider Demographics
NPI:1790760379
Name:CHORNESS, MARJORIE A (MD)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:A
Last Name:CHORNESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 THE PARKWAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650
Mailing Address - Country:US
Mailing Address - Phone:864-662-5000
Mailing Address - Fax:864-662-5008
Practice Address - Street 1:420 THE PARKWAY
Practice Address - Street 2:SUITE C
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650
Practice Address - Country:US
Practice Address - Phone:864-662-5000
Practice Address - Fax:864-662-5008
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17267207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC172672Medicaid
SCF162587339Medicare PIN
SC172672Medicaid