Individual
DOUGLAS MITCHELL MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 MARION ST, COLUMBIA, SC 29201-2910
(803) 296-5954
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
30071
SC
2085R0202X
Diagnostic Radiology Physician
30071
SC
2085R0202X
Diagnostic Radiology Physician
35082002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300711
—
SC
Enumeration date
07/24/2006
Last updated
12/21/2022
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