Connor, Ryan Mackenzie

Connor, Ryan Mackenzie is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Connor, Ryan Mackenzie can be contacted via phone (864) 455-4411.

Contact Information

Primary practice address
701 Grove Rd Fl 5 Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35677 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35677 South Carolina

Profile Details

NPI number 1205274693
LBN Legal business name Connor, Ryan Mackenzie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Jun 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205274693 NPPES
South Carolina MEDICAID 256778
South Carolina Other 35677

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