| Richard E Conner | |
|
946 W Carolina Ave Hartsville SC 29550-4416 | |
| (843) 383-5126 | |
| (843) 332-0691 |
| Full Name | Richard E Conner |
|---|---|
| Speciality | Dentist |
| Location | 946 W Carolina Ave, Hartsville, South Carolina |
| Authorized Official Name and Position | Richard Edward Conner (OWNER) |
| Authorized Official Contact | 8433835126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E Conner 946 W Carolina Ave Hartsville SC 29550-4416 Ph: (843) 383-5126 | Richard E Conner 946 W Carolina Ave Hartsville SC 29550-4416 Ph: (843) 383-5126 |
| NPI Number | 1366519399 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366519399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1219SC (South Carolina) | Primary |
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