Individual
DR. FOY DOUGLAS CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
(843) 320-3492
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166153
—
SC
01
—
AA33969386
MEDICARE PTAN
SC
01
—
CA8394
MEDICARE RR GROUP
—
Enumeration date
12/22/2005
Last updated
11/06/2015
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