Individual
WINSTON MCIVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
660 SINGLETON RIDGE RD, SUITE A, CONWAY, SC 29526
(843) 234-4362
(843) 234-9057
Mailing address
660 SINGLETON RIDGE RD, SUITE A, CONWAY, SC 29526
(843) 234-4362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22160
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T63542
—
SC
Enumeration date
07/14/2005
Last updated
07/10/2009
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