# CONWAY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CMC Pediatrics Church Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851140180
- **Authorized official:** MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 234-6946

## Contact information

- **Practice address:** 2701 CHURCH ST, STE F, CONWAY, SC 29526-4422
- **Practice address phone:** (843) 369-0024
- **Practice address fax:** (843) 369-0072
- **Mailing address:** 300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
- **Mailing address phone:** (843) 234-6946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 07/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PG2221 | — | SC |