Individual
CHARLES ERIC FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8050
(843) 347-8049
Mailing address
300 SINGLETON RIDGE RD ATTN CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5969
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110712300
—
FL
05
—
5235PA
—
SC
Enumeration date
08/11/2017
Last updated
10/30/2025
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