Mark David Herndon, MD

Surgery Physician · Clinton, SC

Individual Active NPI

NPI number 1285751107

Practice location

1012 Medical Ridge Rd
Clinton, SC 29325-4542
Phone
(864) 822-3852
Fax
(864) 938-0501

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NPI record

NPI
1285751107
Entity type
Individual (Type 1)
Enumeration date
March 24, 2007
Last updated
May 25, 2021
Certified
May 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 32321 SC
Surgery Physician 208600000X 58753 GA

Mailing address

300 E McBee Ave Fl 4
Greenville, SC 29601-2842

About Dr. Herndon

Mark David Herndon, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1012 Medical Ridge Rd, Clinton, SC 29325-4542. The NPI number 1285751107 was assigned on March 24, 2007 and the record was last updated on May 25, 2021.

Dr. Herndon lists 2 licenses in the registry: #32321 (SC) for Surgery Physician; #58753 (GA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark David Herndon, MD?

The NPI number is 1285751107.

What is the phone number of Dr. Herndon?

The phone number listed for the practice location is (864) 822-3852.

Where is Dr. Herndon located?

1012 Medical Ridge Rd, Clinton, SC 29325-4542.

What is the taxonomy code for Dr. Herndon?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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