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Individual

KATHRYN BLAIR CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9313 MEDICAL PLAZA DR STE 103, NORTH CHARLESTON, SC 29406-9802
(843) 790-8280
(843) 974-8500
Mailing address
9313 MEDICAL PLAZA DR STE 103, NORTH CHARLESTON, SC 29406-9802
(843) 790-8280
(843) 974-8500

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1970
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2004PA
SC
Enumeration date
09/22/2013
Last updated
10/02/2025
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