Individual provider · Type 1 NPI

Mac Everett Jolly, DO

General Practice Physician · Conway, SC

NPI number 1407542384 Active

Practice location

300 Singleton Ridge Road
Conway, SC 29526-9142

Call (843) 347-8134 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X011162 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X011162 (AZ)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1407542384

Mac Everett Jolly, DO's National Provider Identifier is 1407542384, issued on Apr 13, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Conway, SC. The record was last updated on Aug 1, 2024.