IndividualActive
Amy Canavan, M.D.
NPI 1376574038 · Pediatrics Physician · Conway, SC
Provider details
- NPI number
- 1376574038
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 86335 (SC)
Practice location
124 Professional Park Dr
Suite a
Conway, SC 29526-9260
Phone: (843) 234-8788
Fax: (843) 234-8787
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.