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Individual

CRAIG KONIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5401 NETHERBY LANE, SUITE 101, NORTH CHARLESTON, SC 29420
(843) 767-7650
(843) 760-0960
Mailing address
5401 NETHERBY LANE, SUITE 101, NORTH CHARLESTON, SC 29420
(843) 767-7650
(843) 760-0960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23726
SC

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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