Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Primary Care Postal Way
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
4022 POSTAL WAY, MYRTLE BEACH, SC 29579-3537
(843) 236-0000
(843) 236-6191
Mailing address
300 SINGLETON RIDGE ROAD, ATTENTION PNS CREDENTIALING, MYRTLE BEACH, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8567
—
SC
Enumeration date
03/08/2018
Last updated
12/12/2023
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