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Kingston Family Care
Primary Care Nurse Practitioner in Conway, South Carolina
NPI 1336128412

Kingston Family Care is a Primary Care Nurse Practitioner based in Myrtle Beach, SC and is specialized in Primary Care. Kingston Family Care practices in Conway, SC. The NPI Number for Kingston Family Care is 1336128412 and holds a License No. 26916 (South Carolina).

The current practice location address for Kingston Family Care is 1511 B 9Th Ave, Conway, SC and can be reached out via phone at 843-839-9202.

Location: 1511 B 9Th Ave, Conway, SC, 29577-5714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336128412
Provider Name
Kingston Family Care
Credential
Provider Entity Type
Organization
Address
1511 B 9Th Ave, Conway, SC, 29577-5714
Phone Number
843-839-9202
Fax Number
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP4278 05 SC
institution
Provider Business Practice Location Address Details
Address
1511 B 9Th Ave
City
Conway
State
South Carolina
Zip
29526-4107
Phone Number
843-839-9202
Fax Number
person
Provider Business Mailing Address Details
Address
1511 B 9Th Ave
City
Conway
State
South Carolina
Zip
29526-4107
Phone Number
843-839-9202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
26916 (South Carolina)
Definition
Definition to come...
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