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Case Number and Status

Case Number: I-200-19045-804978

Submitted on:

CERTIFIED

on:

Employment

From: 2019-03-01

To: 2022-03-01 (1,096 days)

Address

100 Professional Park Drive
Conway, SC 29526

Phone

9188600285


Attorney Summary

Location
Frisco, TX

Job Summary

Job Title
Physician
City and State
Conway, SOUTH CAROLINA
County
Horry

Soc Code
29-1069.00
Naics Code
Industry Code
621111