| NPI | 1104159110 |
|---|---|
| Former Legal Business Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 31643) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-07-12 |