NPI 1851717623

Physician at Home, PC

Organisation Hospitalist Physician Conway, SC

Practice location

Address: 300 Singleton Ridge Rd, Conway, SC 29526-9142
Phone: (413) 563-7534
Mailing address: 820 67th Ave N P.O. Box 70157, Myrtle Beach, SC 29572-0200

Authorised official

Name: Kenneth A. Santiago
Title: President
Phone: (413) 563-7534

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 34596 (SC)

Other Hospitalist providers in South Carolina →

Registry record

NPI: 1851717623
Entity type: Organization
NPI issued: 17 Mar 2014
Record last updated: 17 Mar 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.