Mac Everett Jolly, DO is a
General Practice physician based in Conway, South Carolina. Mac Everett Jolly is licensed to practice in Arizona (license number 011162) and his current practice location is 300 Singleton Ridge Road, Conway, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 347-8134.
NPI number for Mac Everett Jolly is 1407542384 and his current mailing address is 300 Singleton Ridge Road, Conway, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407542384.
Physician's Profile
Full Name | Mac Everett Jolly |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 300 Singleton Ridge Road, Conway, South Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407542384
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 08/01/2024
Medical Identifiers
Medical identifiers for Mac Everett Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407542384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 011162 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208D00000X | General Practice | 011162 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mac Everett Jolly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mac Everett Jolly, DO 300 Singleton Ridge Road, Conway, SC 29526-9142 Ph: (843) 347-8134 | Mac Everett Jolly, DO 300 Singleton Ridge Road, Conway, SC 29526-9142 Ph: (843) 347-8134 |
Reviews and Comments