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Organization
RIVERTOWN FAMILY MEDICINE, P.C.
Active
Organization
RIVERTOWN FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIENA SHIELDS ALFORD D.O. (CO OWNER)
(843) 488-4300
Entity
Organization
Contact information
Practice address
1210 MAIN ST, CONWAY, SC 29526-3633
(843) 488-4300
(843) 488-4301
Mailing address
1210 MAIN ST, CONWAY, SC 29526-3633
(843) 488-4300
(843) 488-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T19753
—
SC
05
—
TL0665
—
SC
Enumeration date
06/22/2005
Last updated
08/22/2020
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