Individual
ADRIAN MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2367B CYPRESS CIR, CONWAY, SC 29526-8921
(843) 349-1001
(843) 349-1008
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87744
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
877448
—
SC
Enumeration date
04/01/2022
Last updated
05/16/2025
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