Individual
JOHN DAVID KONSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646
(864) 223-8090
(864) 223-4026
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646
(864) 223-8090
(864) 223-4026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21187
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5280
—
SC
Enumeration date
08/21/2006
Last updated
11/29/2011
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