Individual
DR. RYAN MACKENZIE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35677
SC
208M00000X
Hospitalist Physician
Primary
35677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256778
—
SC
01
—
35677
SC LLR
SC
Enumeration date
06/07/2013
Last updated
06/02/2021
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