Individual
RICHARD D SHROUDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312
Mailing address
300 RICE MEADOW WAY STE B, COLUMBIA, SC 29229-8424
(803) 788-6360
(803) 462-0312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234411
—
SC
Enumeration date
08/25/2006
Last updated
02/22/2013
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