| NPI | 1336336916 |
|---|---|
| Other Name | CPG INTERNAL MEDICINE CREEL STREET |
| Doing Business As | CMC PRIMARY CARE-CREEL STREET |
| Doing Business As | CMC PRIMARY CARE CREEL STREET |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-09-27 |