Organization
CONWAY OBSTECTRICS AND GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY PRICE M.D. (PRESIDENT)
(843) 347-7266
Entity
Organization
Contact information
Practice address
8016 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7266
(843) 347-2130
Mailing address
8016 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7266
(843) 347-2130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA4414
—
SC
Enumeration date
10/11/2006
Last updated
06/21/2018
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