Provider Demographics
NPI:1013910595
Name:STOKES, MARK R (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:R
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:367 W. EVANS STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3429
Mailing Address - Country:US
Mailing Address - Phone:843-669-4156
Mailing Address - Fax:843-664-2121
Practice Address - Street 1:367 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3429
Practice Address - Country:US
Practice Address - Phone:843-669-4156
Practice Address - Fax:843-664-2122
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC17156207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC276366OtherPRIVATE HEALTHCARE SYSTEM
SC4511548OtherAETNA
SC622035OtherSELECT HEALTH
SC180022655OtherRAILROAD MEDICARE
SC171566Medicaid
NC890602GMedicaid
SC9624212OtherGHI
SCS327576OtherCIGNA
SC180022655OtherRAILROAD MEDICARE