Mcconnell, Douglas Mitchell

Mcconnell, Douglas Mitchell is an individual health care provider with primary practice located at 1519 Marion St , Columbia SC 29201-2910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Mcconnell, Douglas Mitchell can be contacted via phone (803) 296-5954.

Contact Information

Primary practice address
1519 Marion St Columbia SC 29201-2910
Phone: (803) 296-5954
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35082002 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30071 South Carolina
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 30071 South Carolina

Profile Details

NPI number 1669494811
LBN Legal business name Mcconnell, Douglas Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 21st, 2022 - 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 1669494811 NPPES
South Carolina MEDICAID 300711

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