Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Pulmonary and Sleep Medicine Church Street, CMC Pulmonary and Sleep Medicine, CONWAY HOSPITAL COMMUNITY SERVICES, CMC Pulmonary and Sleep Medicine Waccamaw Medical Park, CMC Pulmonary and Sleep Medicine Socastee, CPG PULMONARY & SLEEP MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
8004 MYRTLE TRACE DR STE 200, CONWAY, SC 29526-8945
(843) 234-6888
(843) 234-6889
Mailing address
300 SINGLETON RIDGE RD, ATTN: CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4505
—
SC
05
—
PG0368
—
SC
05
—
PG2230
—
SC
05
—
PG2913
—
SC
Enumeration date
09/09/2009
Last updated
07/24/2026
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