# CONWAY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CPG ENDOCRINOLOGY, CMC Endocrinology, CONWAY HOSPITAL COMMUNITY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447497540
- **Authorized official:** MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 234-6946

## Contact information

- **Practice address:** 847 FARRAR DR UNIT 2, CONWAY, SC 29526-8747
- **Practice address phone:** (843) 234-9700
- **Practice address fax:** (843) 234-6896
- **Mailing address:** 300 SINGLETON RIDGE RD, ATTN: CREDENTIALING, CONWAY, SC 29526-9142
- **Mailing address phone:** (843) 234-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 04/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4505 | — | SC |
| 05 | — | PG2741 | — | SC |