Provider Demographics
NPI:1184728420
Name:MARKLEY, KARYN COLLINGWOOD (MD)
Entity type:Individual
Prefix:DR
First Name:KARYN
Middle Name:COLLINGWOOD
Last Name:MARKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8203 NIGELS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4177
Mailing Address - Country:US
Mailing Address - Phone:843-449-5848
Mailing Address - Fax:843-692-0841
Practice Address - Street 1:8203 NIGELS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4177
Practice Address - Country:US
Practice Address - Phone:843-449-5848
Practice Address - Fax:843-692-0841
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC20428207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT44958Medicaid
SCT44958Medicaid
G82349Medicare UPIN