Organization · Type 2 NPI

South Carolina Department of Health and Environmental Control

Occupational Medicine Clinic/Center · Conway, SC

NPI number 1497960355 Active

Practice location

2830 Oak St
Conway, SC 29526-4560

Call (843) 365-3126 Map

Fax (843) 365-3153

Mailing address

1931 Industrial Park Rd
Conway, SC 29526

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	23550 (SC)

Occupational Medicine Clinic/Center: Definition to come...

2 other providers at this address

South Carolina DhecPublic Health or Welfare Agency Conway, SC NPI 1427112226
Elizabeth Anne Desantis, WHNPAmbulatory Women's Health Care Registered Nurse Conway, SC NPI 1114940780

NPI record

NPI: 1497960355
Entity type: Organization (Type 2)
Issued: May 14, 2007
Last updated: Jul 18, 2008
Status: Active

Other names

<unavail>
Region 6 Department of Public Health · doing business as

Authorized official

Dr. Covia Levance Stanley, MD, M.DIV.
Regional Health Director
(843) 915-8875

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497960355

South Carolina Department of Health and Environmental Control's National Provider Identifier is 1497960355, issued on May 14, 2007. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Conway, SC. The record was last updated on Jul 18, 2008.