Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK HERZOG, PTA
Active Sole ProprietorMARK HERZOG, PTA is a General Acute Care Hospital healthcare provider located in SOUTHPORT, North Carolina. NPI 1447373766 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · SOUTHPORT, NC
Registration Details
- NPI Number
- 1447373766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.162077687618 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3211 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
924 N HOWE STSOUTHPORT, NC, 284613038Browse NC providers · Browse ZIP 28461
- Phone
- 9104544703
- Primary Specialty
-
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.