# CONWAY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMC PEDIATRICS CAROLINA FOREST, CMC PEDIATRICS TOWNE CENTER, CONWAY HOSPITAL COMMUNITY SERVICES, CPG PEDIATRICS CAROLINA FOREST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760630966
- **Authorized official:** MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 234-6946

## Contact information

- **Practice address:** 4022 POSTAL WAY, SUITE C, MYRTLE BEACH, SC 29579-3537
- **Practice address phone:** (843) 903-4111
- **Practice address fax:** (843) 903-4242
- **Mailing address:** 300 SINGLETON RIDGE RD, ATTN: PATIENT ACCOUNTING, CONWAY, SC 29526-9142
- **Mailing address phone:** (843) 234-6946
- **Mailing address fax:** (843) 234-6990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 02/05/2021

## Other identifiers

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