Individual
DONNA C ORVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-4888
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-4888
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3344
MEDICARE PIN FOR WCMH
SC
Enumeration date
05/31/2006
Last updated
12/04/2008
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