| NPI | 1104223908 |
|---|---|
| Former Legal Business Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Other Name | CPG NEUROLOGY |
| Doing Business As | CMC NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2022-02-15 |