Provider Demographics
NPI:1194778977
Name:HOPKINS, MARK E (CRNA)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:E
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6307
Mailing Address - Fax:864-797-6198
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:2ND FLOOR ANESTHESIA DEPT
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5611
Practice Address - Country:US
Practice Address - Phone:864-455-7111
Practice Address - Fax:864-455-6441
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCAPRN2346367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC576007863OtherBCBS
SC576007863OtherBLUE CHOICE
SC576007863OtherAETNA
SC20010759OtherINDIVIDUAL SELECT HEALTH
SC576007863OtherCIGNA
SC20031911OtherSELECT HEALTH GROUP
SCAN0200Medicaid
SCAN0200Medicaid