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Individual

DR. KENNETH HUGH TOMCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
50 TERRACE DR, RIDGELAND, SC 29936-5097
(843) 547-4765
(843) 547-4766
Mailing address
50 TERRACE DR, RIDGELAND, SC 29936-5097
(843) 547-4765
(843) 547-4766

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93632
SC
207Q00000X
Family Medicine Physician
OS013802
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102173336
PA
Enumeration date
08/08/2007
Last updated
06/17/2025
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