Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
811 82ND PARKWAY, SUITE B, MYRTLE BEACH, SC 29572-4653
(843) 839-4598
(843) 839-4599
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0931
—
SC
Enumeration date
03/29/2022
Last updated
08/23/2024
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