Individual
WESLEY S CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1519 MARION ST, COLUMBIA, SC 29220-2910
(803) 296-5513
(803) 296-3076
Mailing address
555 E. CHEVES ST., ATTN: RADIOLOGY DEPARTMENT/MRMC, FLORENCE, SC 29506-2617
(843) 777-2879
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28797
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28797
MEDICAL LICENSE
SC
05
—
287978
—
SC
Enumeration date
02/07/2006
Last updated
01/20/2016
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