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Organization

CONWAY HOSPITAL, INC.

Active
Other names
CMC Primary Care Highway 90
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization

Contact information

Practice address
4300 HIGHWAY 90, CONWAY, SC 29526
(843) 399-3377
Mailing address
300 SINGLETON RIDGE ROAD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
363AM0700X
Medical Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/11/2021
Last updated
09/16/2021
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