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Organization
CONWAY HOSPITAL, INC.
Active
Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Physical Therapy 21st Ave
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (PAYER ENROLLMENT SUPERVISOR)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2050 CORPORATE CENTRE DR STE 100, MYRTLE BEACH, SC 29577-7428
(843) 443-9368
(843) 916-2348
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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