Active NPI
Marc N Dubick MD PC
- Specialist
- Charleston, SC
National Provider Identifier
1790842508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20700
- Legal business name
- MARC N DUBICK MD PC
- Practice address
- 835 Duck Hawk Retreat
Charleston, SC 29412 - Phone
- (843) 697-1671
- Fax
- (844) 406-4501
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc N Dubick, MD
- Title
- Owner
- Phone
- (843) 697-1671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20700 | SC | Primary |
Addresses
Primary practice location
835 Duck Hawk Retreat
Charleston, SC 29412
Mailing address
835 Duck Hawk Retreat
Charleston, SC 29412
Phone (843) 697-1671
National Provider Directory
National Provider DirectoryLocations
1370 Ashley River Rd
Charleston, SC 29407
Phone (843) 573-3444
2097 Henry Tecklenburg Dr
Ste 203
Charleston, SC 29414
Phone (843) 571-5257
2097 Henry Tecklenburg Dr
#203W
Charleston, SC 29414
Phone (843) 573-3444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541635200000",
"number": "1790842508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 DUCK HAWK RETREAT",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29412",
"telephone_number": "843-697-1671",
"fax_number": "844-406-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 DUCK HAWK RETREAT",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29412",
"telephone_number": "843-697-1671",
"fax_number": "844-406-4501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC N DUBICK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2018-11-08",
"status": "A",
"authorized_official_last_name": "DUBICK",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-697-1671",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "SC",
"license": "20700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.