Provider Demographics
NPI:1144213919
Name:TOWNSEND, RICHARD E (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 WEST MEETING STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6261
Mailing Address - Country:US
Mailing Address - Phone:803-286-4405
Mailing Address - Fax:803-286-8487
Practice Address - Street 1:834 WEST MEETING STREET
Practice Address - Street 2:SUITE B
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6261
Practice Address - Country:US
Practice Address - Phone:803-286-4405
Practice Address - Fax:803-286-8487
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12398207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2348Medicaid
D990806177Medicare PIN
SCGP2348Medicaid
SCD990806177Medicare UPIN
6177Medicare ID - Type Unspecified