Shrouds, Richard D

Shrouds, Richard D is an individual health care provider with primary practice located at 601 Clemson Rd , Columbia SC 29229-4341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shrouds, Richard D can be contacted via phone (803) 788-6146.

Contact Information

Primary practice address
601 Clemson Rd Columbia SC 29229-4341
Phone: (803) 788-6146
Fax: (803) 462-0312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23441 South Carolina

Profile Details

NPI number 1376651943
LBN Legal business name Shrouds, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 22nd, 2013 - about 13 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 1376651943 NPPES
South Carolina MEDICAID 234411

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