Elder, Robert L

Elder, Robert L is an individual health care provider with primary practice located at 701 Medical Park Dr 204, Hartsville SC 29550-4777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elder, Robert L can be contacted via phone (843) 383-2273.

Contact Information

Primary practice address
701 Medical Park Dr 204 Hartsville SC 29550-4777
Phone: (843) 383-2273
Fax: (843) 383-9476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17991 South Carolina

Profile Details

NPI number 1154353787
LBN Legal business name Elder, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 13th, 2017 - about 8 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 1154353787 NPPES
South Carolina MEDICAID T19593

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