Provider Demographics
NPI:1902314057
Name:POSTON, RALPH A JR
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:A
Last Name:POSTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 WAGON WHEEL CT
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29527-4019
Mailing Address - Country:US
Mailing Address - Phone:843-504-7827
Mailing Address - Fax:
Practice Address - Street 1:1365 WAGON WHEEL CT
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29527-4019
Practice Address - Country:US
Practice Address - Phone:843-504-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other