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Organization
CONWAY HOSPITAL, INC.
Active
Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (PAYER ENROLLMENT SUPERVISOR)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2376 CYPRESS CIR STE 100, CONWAY, SC 29526-8964
(843) 234-8600
(843) 234-8601
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG3024
—
SC
Enumeration date
05/14/2025
Last updated
08/24/2026
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