Organization
WOMAN'S MEDICAL CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY B. LEVENSON M.D. (PRESIDENT)
(843) 347-7216
Entity
Organization
Contact information
Practice address
8004 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7216
(843) 347-7218
Mailing address
4728 JENN DR, SUITE 104, MYRTLE BEACH, SC 29577-5714
(843) 236-8888
(843) 236-5088
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09347
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC6427
—
SC
Enumeration date
01/06/2009
Last updated
01/06/2009
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