Individual
FARAYI JONNES MBUVAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 82ND PARKWAY STE B, MYRTLE BEACH, SC 29572-4653
(843) 839-4598
(843) 839-4599
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
81715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817156
—
SC
Enumeration date
10/08/2012
Last updated
04/22/2022
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