NPI | 1003112152 |
---|---|
Former Legal Business Name | CONWAY HOSPITAL COMMUNITY SERVICES |
Other Name | CPG OB GYN CAROLINA FOREST |
Doing Business As | CMC WOMEN'S HEALTH-TOWNE CENTER |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 1032S) |
Enumeration Date | 2011-02-08 |
Last Update Date | 2020-01-03 |