MRS. CAROL SUE EATON (NPI# 1881846947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881846947 |
| Entity Type | Individual |
| Full Name | MRS. CAROL SUE EATON |
| Credential | MPA, PA-C |
| Practice Address |
903 Bell St Conway SC 29526-4113 |
| Mailing Address |
300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8434882111 |
| Practice Fax Number | 8434482112 |
| Mailing Telephone | 8432346946 |
| Mailing Fax Number | 8432348958 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 005454 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2312 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5010 Carolina Forest Blvd, Myrtle Beach, SC 295793579 | 8432362700 | 8432346990 |
| Street Address |
903 BELL ST |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380220 | Jonathan D. Briggs | Nurse Practitioner | 903 Bell St, Conway, SC 29526-4113 | 2006-03-17 |
| 1437591591 | Ahmed Osama Anwer Mohamed | Internal Medicine | 903 Bell St, Conway, SC 29526 | 2013-07-18 |
| 1780995373 | Conway Hospital Inc | Physician Assistant | 903 Bell St, Conway, SC 29526-4113 | 2010-06-29 |
| 1386668234 | Richard E Haire | Physician Assistant | 903 Bell St, Conway, SC 29526-4113 | 2006-07-26 |
| 1477517209 | Conway Adult Medicine | Internal Medicine | 903 Bell St, Conway, SC 29526-4113 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1558561431 | Jayme Mayo | Physician Assistant | 612 Garland St, Conway, AR 72032-4418 | 2007-07-19 |
| 1639641947 | Molly M Lensing | Physician Assistant | 812 Oak St, Conway, AR 72032-4408 | 2018-12-27 |
| 1942671730 | Courtney Layne Mosley | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2015-10-19 |
| 1316338684 | Alexandra Savenka | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2015-02-09 |
| 1326468059 | Savannah Bradbury | Physician Assistant | 550 Club Ln, Suite1, Conway, AR 72034-3681 | 2014-04-21 |
| 1831526615 | Ashley Allen | Physician Assistant | 1014 Harkrider St, Suite B, Conway, AR 72032-4404 | 2013-10-11 |
| 1588903694 | Cecilia Mai Reyes | Physician Assistant | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2013-02-08 |
| 1508127911 | Erin Stewart Floyd | Physician Assistant | 1301 Creel St, Conway, SC 29527-5018 | 2012-06-01 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.