Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Primary Care Church Street
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2701 CHURCH ST, STE A, CONWAY, SC 29526-4422
(843) 365-0295
(843) 365-0354
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG2166
—
SC
Enumeration date
02/07/2023
Last updated
09/15/2025
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