Organization
MAGNOLIA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALEXANDER CORONTZES M.D. (PRESIDENT)
(843) 347-9099
Entity
Organization
Contact information
Practice address
600 SINGLETON RIDGE RD, CONWAY, SC 29526-9154
(843) 347-9099
(866) 632-2923
Mailing address
600 SINGLETON RIDGE RD, CONWAY, SC 29526-9154
(843) 347-9099
(843) 347-9029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13931
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139317
—
SC
05
—
327877
—
SC
05
—
GP2059
—
SC
Enumeration date
07/31/2008
Last updated
02/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us