Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Cardiac Care, CMC Cardiac Care Socastee, CPG WACCAMAW CARDIOLOGY, CMC Cardiac Care Church Street
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
2376 CYPRESS CIR STE 102, CONWAY, SC 29526-8964
(843) 347-8953
(843) 347-0226
Mailing address
300 SINGLETON RIDGE RD, ATTN: PNS CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6139
—
SC
05
—
PG0369
—
SC
05
—
PG2231
—
SC
Enumeration date
01/15/2013
Last updated
05/14/2026
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