| Gregory Stephen Connor, MD | |
|
1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 | |
| (843) 339-4790 | |
| (843) 339-4791 |
| Full Name | Gregory Stephen Connor |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 52 Years |
| Location | 1304 W Bobo Newsom Hwy, Hartsville, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265422992 | NPI | - | NPPES |
| 074038 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 7403 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina Pines Regional Medical Center | Hartsville, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Caresouth Carolina Inc. | 1052221314 | 56 |
| Prestwood Radiology, Llp | 3971837204 | 2 |
| Entity Name | Caresouth Carolina Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
| Entity Name | Gregory S Connor Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548797533 PECOS PAC ID: 5991076580 Enrollment ID: O20170731002565 |
| Entity Name | Prestwood Radiology, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093274235 PECOS PAC ID: 3971837204 Enrollment ID: O20190620001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Stephen Connor, MD Po Box 100523, Florence, SC 29502-0523 Ph: (843) 669-5162 | Gregory Stephen Connor, MD 1304 W Bobo Newsom Hwy, Hartsville, SC 29550-4710 Ph: (843) 339-4790 |
Sally Webb Regan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4790 Fax: 843-339-4791 | |
Louis Roemhildt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Pine Lake Dr, Hartsville, SC 29550 Phone: 952-595-1100 Fax: 612-294-4903 |