Individual Provider
MARK A STELLINGWORTH MD
NPI Number1003000936
Practice Location
701 MEDICAL PARK DR STE 301
HARTSVILLE, SC, 29550-4779
Phone
(843) 383-5978
Fax
(843) 383-5977
Mailing Address
PO BOX 743904
ATLANTA, GA, 303743904
Phone
(803) 296-7320
Fax
(803) 296-7330
Other Identifiers
024969
Other (non-Medicare)
State: LAIssuer: Medical License
363779
MEDICAID
State: SC
TL36377
Other (non-Medicare)
State: SCIssuer: Medical License
License Information
License Number
36377
State: SC
Important Dates
Enumeration Date
September 4, 2007
Last Updated
June 13, 2022
Certification Date
June 13, 2022