Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Orthopaedics Socastee, CMC Orthopaedics, CMC Orthopaedics Grande Dunes, CMC Orthopaedics Surfside Beach
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) 347-8041
(843) 347-8042
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9812
—
SC
05
—
PG0459
—
SC
05
—
PG2789
—
SC
05
—
PG2790
—
SC
Enumeration date
10/05/2011
Last updated
03/06/2026
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