Elder, Robert L
Elder, Robert L is an individual health care provider with primary practice located at 701 Medical Park Dr 204, Hartsville SC 29550-4777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elder, Robert L can be contacted via phone (843) 383-2273.Contact Information
Primary practice address
701 Medical Park Dr 204
Hartsville SC 29550-4777
Phone: (843) 383-2273
Fax: (843) 383-9476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17991 | South Carolina |
Profile Details
| NPI number | 1154353787 |
|---|---|
| LBN Legal business name | Elder, Robert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jun 13th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154353787 | NPPES |
| South Carolina | MEDICAID | T19593 |
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