Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Primary Care Bellamy Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
631 BELLAMY AVE UNIT A, MURRELLS INLET, SC 29576-6459
(843) 651-0550
(843) 651-0564
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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