Organization
CONWAY HOSPITAL, INC.
Active
Other names
CONWAY HOSPITAL COMMUNITY SERVICES, CMC NEUROLOGY, CPG NEUROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 234-8950
(843) 234-8951
Mailing address
300 SINGLETON RIDGE RD, ATTN: PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
SC
2084N0400X
Neurology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7301
—
SC
Enumeration date
11/24/2014
Last updated
02/15/2022
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