Derion Conyers, is a
Student In An Organized Health Care Education/training Program based in Little River, South Carolina. Derion Conyers is licensed to practice in * (Not Available) (license number ) and his current practice location is
2710 Mount Zion Rd, Little River, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 443-5611.
NPI number for Derion Conyers is 1508740143 and his current mailing address is 2710 Mount Zion Rd, Little River, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508740143.
Provider's Profile
| Full Name | Derion Conyers |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2710 Mount Zion Rd, Little River, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508740143
- Provider Enumeration Date: 08/05/2025
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Derion Conyers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508740143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Derion Conyers 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 |
|---|
Derion Conyers,
2710 Mount Zion Rd,
Little River, SC 29566-7413
Ph: () - | Derion Conyers,
2710 Mount Zion Rd,
Little River, SC 29566-7413
Ph: (843) 443-5611 |
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