Provider Demographics
NPI:1255343794
Name:HOWARD, GENE R (MD)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:R
Last Name:HOWARD
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 1:1101 CLARITY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3138
Mailing Address - Country:US
Mailing Address - Phone:843-793-5437
Mailing Address - Fax:843-375-1487
Practice Address - Street 1:1101 CLARITY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3138
Practice Address - Country:US
Practice Address - Phone:843-793-5437
Practice Address - Fax:843-375-1487
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15356207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E567494155OtherRAILROAD MEDICARE
SC153568Medicaid
E567494155OtherRAILROAD MEDICARE
SC5912Medicare PIN
SC5910Medicare PIN
SC5909Medicare PIN
SCE56749Medicare UPIN