Individual
JOHN PAUL KONSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6185
(843) 237-2672
Mailing address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6185
(843) 237-2672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
VL4792
SC
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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