Individual
DR. COVIA LEVANCE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-8875
(843) 365-3153
Mailing address
1931 INDUSTRIAL PARK RD., CONWAY, SC 29526-5482
(843) 915-8875
(843) 365-3153
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
23550
SC
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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