Individual
DR. ROBERT H BARDSLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS CSB 210, MSC 323, CHARLESTON, SC 29425-4220
(336) 312-6419
Mailing address
2016 ELVINGTON RD, JOHNS ISLAND, SC 29455-8278
(336) 312-6419
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MMD94442LL
SC
208600000X
Surgery Physician
RTL24-0115
NC
Other
Enumeration date
05/08/2024
Last updated
07/11/2025
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