Organization
CONWAY HOSPITAL, INC
Active
Other names
CPG ENDOCRINOLOGY, CMC Endocrinology, CONWAY HOSPITAL COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
847 FARRAR DR UNIT 2, CONWAY, SC 29526-8747
(843) 234-9700
(843) 234-6896
Mailing address
300 SINGLETON RIDGE RD, ATTN: CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4505
—
SC
05
—
PG2741
—
SC
Enumeration date
01/12/2009
Last updated
04/07/2025
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