Organization
RIVERTOWN PRIMARY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M VEST M.D. (OWNER)
(843) 238-5654
Entity
Organization
Contact information
Practice address
808 FARRAR DR, CONWAY, SC 29526-8747
(843) 238-5654
(843) 238-1624
Mailing address
808 FARRAR DR, CONWAY, SC 29526-8747
(843) 238-5654
(843) 238-1624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
10/15/2007
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