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Individual

AMY LANGHAM CANAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
124 PROFESSIONAL PARK DR, SUITE A, CONWAY, SC 29526-9260
(843) 234-8788
(843) 234-8787
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86335
SC
208M00000X
Hospitalist Physician
86335
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
863355
SC
Enumeration date
07/05/2006
Last updated
10/18/2022
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