| NPI | 1306689237 |
|---|---|
| Doing Business As | CMC PRIMARY CARE COASTAL CAROLINA UNIVERSITY |
| 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 |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-08-15 |