| NPI | 1073219325 |
|---|---|
| Doing Business As | CMC PRIMARY CARE CHURCH STREET |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-09-15 |