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Contact Information

RICHARD H EISENMAN, MD
2376 CYPRESS CIRCLE
SUITE 203
CONWAY, SC29526-8994
 Phone: 843-347-6038
 Fax: 843-347-9808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for RICHARD H EISENMAN · (Male)

NPI # 1053472175
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 10/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 14836
  • SC Medicaid GP4505
  • SC Other 7844 MEDICARE
Hospital affiliation(s)
  • CONWAY MEDICAL CENTER - (Acute Care)
    300 SINGLETON RIDGE ROAD
    CONWAY, SC 29526
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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