Provider Demographics
NPI:1447877394
Name:GLAIR, CONNOR PATRICK (MD)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:PATRICK
Last Name:GLAIR
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:EMERGENCY MEDICINE
Mailing Address - Street 2:14 MEDICAL PARK, STE 350
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-3790
Mailing Address - Fax:803-434-3946
Practice Address - Street 1:EMERGENCY MEDICINE
Practice Address - Street 2:14 MEDICAL PARK, STE 350
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-3790
Practice Address - Fax:803-434-3946
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL84611207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine