# CONWAY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMC Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427798669
- **Authorized official:** MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 234-6946

## Contact information

- **Practice address:** 811 82ND PARKWAY, SUITE B, MYRTLE BEACH, SC 29572-4653
- **Practice address phone:** (843) 839-4598
- **Practice address fax:** (843) 839-4599
- **Mailing address:** 300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
- **Mailing address phone:** (843) 234-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 08/23/2024