Organization
CONWAY HOSPITAL COMMUNITY SERVICES
Active
Other names
CPG Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT BARR (VP FISCAL SERVICES)
(843) 234-5139
Entity
Organization
Contact information
Practice address
8004 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7216
(843) 347-7218
Mailing address
PO BOX 50760, MYRTLE BEACH, SC 29579-0013
(843) 234-6827
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
01/15/2014
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