Individual
GERALD FOSTER CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CHEVES ST, SUITE 280, FLORENCE, SC 29506-2650
(843) 679-6881
(843) 679-6883
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
27687
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276873
—
SC
01
—
AA10428552
MEDICARE PTAN
SC
Enumeration date
04/05/2006
Last updated
03/19/2013
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