Mark Linen

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

222104 Issued in SC

Practice address

164 Waccamaw Medical Park Drive
Waccamaw Center for Mental Health
Conway, SC 29526

Phone

(843) 347-5060

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1942733191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DRIVE",
            "address_2": "WACCAMAW CENTER FOR MENTAL HEALTH",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WACCAMAW MEDICAL PARK DRIVE",
            "address_2": "WACCAMAW CENTER FOR MENTAL HEALTH",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEN",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "222104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Louis Lilholt, DPT
• Nancy Ann Lincoln, RN, BSN
• Benjamin Lindsey, MD
• James Melvin Lindsey Jr., M.D.
• Bradley Lineback, M.D.
• Rosemarie Linn
• Vanessa Lisseus-Wright, MD
• Little River Medical Center, Inc.
• Little River Medical Center, Inc.
• Little River Medical Center, Inc.

• Registered Nurse in Conway, SC
• Providers in Conway, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.