Jolly, Mac Everett

Jolly, Mac Everett is an individual health care provider with primary practice located at 300 Singleton Ridge Road , Conway SC 29526-9142. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Jolly, Mac Everett can be contacted via phone (843) 347-8134.

Contact Information

Primary practice address
300 Singleton Ridge Road Conway SC 29526-9142
Phone: (843) 347-8134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 011162 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 011162 Arizona

Profile Details

NPI number 1407542384
LBN Legal business name Jolly, Mac Everett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2023
Last updated Aug 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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