Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Pediatrics Socastee, 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
6010 HIGHWAY 707, STE 300, MYRTLE BEACH, SC 29588-7321
(843) 293-1005
(843) 293-1006
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8961
—
SC
Enumeration date
04/09/2019
Last updated
02/08/2024
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