Provider Demographics
NPI:1942367388
Name:STONE, HARRY D JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:D
Last Name:STONE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 E CHEVES ST
Mailing Address - Street 2:STE 420
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2650
Mailing Address - Country:US
Mailing Address - Phone:843-679-9335
Mailing Address - Fax:843-669-4214
Practice Address - Street 1:800 E CHEVES ST
Practice Address - Street 2:STE 420
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2650
Practice Address - Country:US
Practice Address - Phone:843-679-9335
Practice Address - Fax:843-669-4214
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC19224207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC192240Medicaid
SC192240Medicaid