Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mac Everett Jolly, DO

Individual provider Family Medicine Physician · NPI 1407542384

Mac Everett Jolly, DO is a Family Medicine Physician in Conway, South Carolina. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone: (843) 347-8134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 011162 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 011162 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407542384
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESAugust 1, 2024
Certification dateJuly 30, 2024

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