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Kevin Sponseller, MD

Family Medicine in Hartsville, SC. Individual provider (NPI-1).

NPI number1851709554
StatusActive
Last updated in NPPESAug 23, 2023

Details

NPI
1851709554
Entity type
Individual (NPI-1)
Name
Kevin Sponseller
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 25, 2014
Certification date
Aug 23, 2023
Last updated
Aug 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39188SCYes
146D00000X Personal Emergency Response Attendant––
207Q00000X Family Medicine62618-20WI
390200000X Student in an Organized Health Care Education/Training Program62618-20WI

Practice location

701 Medical Park Dr Ste 207
Hartsville, SC 29550-4778

Phone 433-832-7648 · Fax 843-383-5171

Mailing address

701 Medical Park Dr Ste 207
Hartsville, SC 29550-4778

Phone 433-832-7648 · Fax 843-383-5171

Other practice locations

849 Kellogg Ave
Janesville, WI 53546-2808

Phone 608-755-7960 · Fax 608-755-7873

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Other Family Medicine Physician providers in Hartsville, SC

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