Provider Demographics
NPI:1487820718
Name:CONE, CHRISTY L (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:CONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 JOHNNIE DODDS BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3045
Mailing Address - Country:US
Mailing Address - Phone:843-849-9925
Mailing Address - Fax:843-849-6533
Practice Address - Street 1:710 JOHNNIE DODDS BLVD STE 315
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3045
Practice Address - Country:US
Practice Address - Phone:843-849-9925
Practice Address - Fax:843-849-6533
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G65140Medicare UPIN