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Organization
CONWAY HOSPITAL, INC.
Active
Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Pediatrics Socastee, Conway Hospital Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (PAYER ENROLLMENT SUPERVISOR)
(843) 234-6946
Entity
Organization
Contact information
Practice address
6010 HIGHWAY 707 STE 100, MYRTLE BEACH, SC 29588-7321
(843) 293-1005
(843) 293-1006
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8961
—
SC
Enumeration date
04/09/2019
Last updated
09/21/2026
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