Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Infectious Diseases
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2361 CYPRESS CIR STE C, CONWAY, SC 29526-8921
(843) 347-7115
(843) 347-7116
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG0401
—
SC
Enumeration date
04/23/2021
Last updated
03/20/2025
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