Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Herzog, PTA

Individual provider General Acute Care Hospital · NPI 1447373766

Mark Herzog, PTA is a General Acute Care Hospital in Southport, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

924 N Howe St
Southport, NC 28461-3038
Phone: (910) 454-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 3211 (NC)

Record details

NPI number1447373766
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESJuly 8, 2007

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