Healthcare Provider Details

I. General information

NPI: 1457327918
Provider Name (Legal Business Name): DEBRA K JOYNER PA C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 PROFESSIONAL PARK DR
CONWAY SC
29526-9261
US

IV. Provider business mailing address

135 PROFESSIONAL PARK DR
CONWAY SC
29526-9261
US

V. Phone/Fax

Practice location:
  • Phone: 843-347-8765
  • Fax: 843-236-4746
Mailing address:
  • Phone: 843-347-8765
  • Fax: 843-236-4746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA412
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: