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Individual

DR. RAYMOND LEONARD KRZYZANIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
402-B SINGLETON RIDGE ROAD, CONWAY, SC 29526
(843) 347-8600
(843) 347-8702
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
31530
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N31854
SC
Enumeration date
03/11/2009
Last updated
05/20/2010
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