Congdon, Gerald Francis

Congdon, Gerald Francis is an individual health care provider with primary practice located at 201 Business Center Dr , Pawleys Island SC 29585-6522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Congdon, Gerald Francis can be contacted via phone (888) 467-1117.

Contact Information

Primary practice address
201 Business Center Dr Pawleys Island SC 29585-6522
Fax: (888) 990-3903
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19721 South Carolina

Profile Details

NPI number 1568446326
LBN Legal business name Congdon, Gerald Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Sep 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568446326 NPPES
South Carolina MEDICAID 197218
South Carolina MEDICAID 19721

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