Organization
PRIMARY PLUS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KONIVER M.D. (MANAGER)
(843) 767-7650
Entity
Organization
Contact information
Practice address
5401 NETHERBY LANE, CHARLESTON, SC 29420
(843) 767-7650
Mailing address
5401 NETHERBY LANE, CHARLESTON, SC 29420
(843) 767-7650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23726
SC
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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