Healthcare Provider Details

I. General information

NPI: 1144213919
Provider Name (Legal Business Name): RICHARD E TOWNSEND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 WEST MEETING STREET SUITE B
LANCASTER SC
29720-6261
US

IV. Provider business mailing address

834 WEST MEETING STREET SUITE B
LANCASTER SC
29720-6261
US

V. Phone/Fax

Practice location:
  • Phone: 803-286-4405
  • Fax: 803-286-8487
Mailing address:
  • Phone: 803-286-4405
  • Fax: 803-286-8487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12398
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: