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Organization

CONWAY ANESTHESIA SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES M PROCTOR MD (DIRECTOR)
(843) 488-1895
Entity
Organization

Contact information

Practice address
1405 MAIN ST, CONWAY, SC 29526-3568
(843) 488-2898
Mailing address
1405 MAIN ST, CONWAY, SC 29526-3568

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
11/19/2020
Last updated
07/14/2021
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