Organization
CONWAY HOSPITAL, INC.
Active
Other names
CMC Primary Care Prince Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ARTIOLI (CREDENTIALING SPECIALIST)
(843) 234-6946
Entity
Organization
Contact information
Practice address
11899 HIGHWAY 707 UNIT #A8, MURRELLS INLET, SC 29576-9735
(843) 651-0791
(843) 651-0816
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG1135
—
SC
Enumeration date
07/05/2022
Last updated
12/29/2023
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