NPI 1518986637

Conway Pediatrics,pa

Organisation Legal Medicine Conway, SC

Practice location

Address: 907 Bell St, Conway, SC 29526-4113
Phone: (843) 248-2727
Fax: (843) 248-5107

Authorised official

Name: Thomas Petrusick
Title: Doctor
Phone: (843) 248-2727

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 4548 (SC)

Other Legal Medicine providers in South Carolina →

Registry record

NPI: 1518986637
Entity type: Organization
NPI issued: 19 Jul 2006
Record last updated: 20 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.