Individual
JOHN M STOVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 527-7000
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-1718
(843) 527-7058
(843) 546-7601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22634
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T66764
—
SC
Enumeration date
08/13/2005
Last updated
11/12/2025
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