Individual provider · Type 1 NPI

Jonathan Stephens, PA-C

Surgical Physician Assistant · Conway, SC

NPI number 1114535077 Active

Practice location

2376 Cypress Cir Ste 300
Conway, SC 29526-8995

Call (843) 347-8041 Map

Mailing address

300 Singleton Ridge Rd, Att Pns Credentialing
Conway, SC 29526-9142

Other practice locations

  • 6010 Highway 707 Ste 300, Myrtle Beach, SC 29588-7321 · (843) 347-8041

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X025354 (NY)
Surgical Physician Assistant Primary 363AS0400X6378 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1114535077

Jonathan Stephens, PA-C's National Provider Identifier is 1114535077, issued on Jul 16, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Conway, SC. The record was last updated on Sep 15, 2026.