Individual
DR. RICHARD H. EISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2376 CYPRESS CIRCLE, SUITE 203, CONWAY, SC 29526-8994
(843) 347-6038
(843) 347-9808
Mailing address
PO BOX 2180, CONWAY, SC 29528-2180
(843) 347-6038
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7844
MEDICARE
SC
05
—
GP4505
—
SC
Enumeration date
12/12/2006
Last updated
10/06/2016
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