Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Weight Loss, CMC Weight Loss Socastee, CMC Weight Loss Florence
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2369 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-3900
(843) 347-3930
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0740
—
SC
05
—
PG0754
—
SC
05
—
PG1557
—
SC
Enumeration date
11/23/2021
Last updated
12/24/2025
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