Search › South Carolina › 204E00000X
Mark Chishom, DMD
NPI 1417908328 · on the registry since 2006
Practice
- Address
- 102 Buckthorn Cir
Elgin, SC 29045 - Phone
- (803) 477-4909
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 1223S0112X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina