# CONWAY HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMC ENT, CONWAY HOSPITAL COMMUNITY SERVICES, CPG CAROLINA BAYS ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760459028
- **Authorized official:** MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 234-6946

## Contact information

- **Practice address:** 620 SINGLETON RIDGE RD, CONWAY, SC 29526-9154
- **Practice address phone:** (843) 347-7300
- **Practice address fax:** (843) 347-8459
- **Mailing address:** 300 SINGLETON RIDGE ROAD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
- **Mailing address phone:** (843) 234-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | — |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 08/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP4505 | — | SC |
| 05 | — | PG0879 | — | SC |
| 05 | — | PG0911 | — | SC |