NPI | 1033244793 |
---|---|
Doing Business As | CONWAY PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 828) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 20362) | |
207Y00000X Otolaryngology (Licence: SC 21986) | |
363AM0700X Physician Assistant, Medical | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-04-28 |