# CONWAY ANESTHESIA ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922028851
- **Authorized official:** DR. SUSAN J HASKIN MD (PRESIDENT)
- **Authorized official phone:** (843) 669-5162

## Contact information

- **Practice address:** 300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
- **Practice address phone:** (843) 669-5162
- **Practice address fax:** (843) 667-4573
- **Mailing address:** PO BOX 100523, FLORENCE, SC 29501-0523
- **Mailing address phone:** (843) 669-5162
- **Mailing address fax:** (843) 667-4573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 890142F | — | NC |
| 05 | — | PC3974 | — | SC |