Organization
CONWAY HOSPITAL INC
Active
Other names
CMC PRIMARY CARE-BELL STREET, CONWAY HOSPITAL COMMUNITY SERVICES, CPG FAMILY MEDICINE BELL STREET
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
903 BELL ST, CONWAY, SC 29526-4113
(843) 488-2111
(843) 488-2112
Mailing address
300 SINGLETON RIDGE RD, ATTN: PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
(843) 234-6990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4505
—
SC
Enumeration date
06/29/2010
Last updated
08/20/2020
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