Scott Martinez
 
 
 2020-08-05 10:18AM 
 No. 0020 
 # 2016-06-05 11:01 
 Conway Medical Center 
 RRD 187754897 
 P. 3312 
 Conway Medical Center 
 300 Singleton Ridge Road 
 Conway, SC 29526 
 MC 
 (843) 347-7111 
 Pallent: 
 Scott Martinez 
 MRN: 
 845203256 
 Admit: 
 2021-04-06 
 FIN: 
 1202240813 
 Disch: 
 2021-05-06 
 DOB/Age/Sex: 1995-04-19 
 82 years 
 Female 
 Admilting: Bornfreund,DO,Jonathan David 
 Location: 
 OPDCMG 
 Mammography 
 Accession 
 Exam Date/Time 
 Exam 
 Ordering Physician 
 Patient Age at Exam 
 MG-22-0001406 
 2021-07-10 16:13 EST 
 MG Mammo Digital 
 Bornfreund,DO 
 82 years 
 Screening Bilateral 
 Jonathan David 
 A letter will be mailed to the patient In regards to the appropriate timing of the followup examination. 
 Electronically Signed By: Joshua Tew 
 Report Request ID: 15141039 
 Page 1 of 1 
 Print Date/Time: 2016-06-05 10:00 CST
