Richardson, Paul Mckinley

Richardson, Paul Mckinley is an individual health care provider with primary practice located at 2367B Cypress Cir , Conway SC 29526-8921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Richardson, Paul Mckinley can be contacted via phone (843) 349-1001.

Contact Information

Primary practice address
2367B Cypress Cir Conway SC 29526-8921
Fax: (843) 349-1008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23051 South Carolina

Profile Details

NPI number 1972596005
LBN Legal business name Richardson, Paul Mckinley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 30th, 2023 - about 3 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 1972596005 NPPES
South Carolina MEDICAID 230510

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