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Organization
CONWAY HOSPITAL, INC.
Active
Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Primary Care Market Common
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (PAYER ENROLLMENT SUPERVISOR)
(843) 234-6946
Entity
Organization
Contact information
Practice address
1600 FARROW PARKWAY UNIT B3, MYRTLE BEACH, SC 29577-2011
(843) 839-4095
(843) 839-4096
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0275
—
SC
Enumeration date
01/08/2021
Last updated
08/25/2026
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