| NPI | 1659762227 |
|---|---|
| Former Legal Business Name | CONWAY HOSPTIAL COMMUNITY SERVICES |
| Other Name | CMC QUICK CARE SINGLETON RIDGE |
| Other Name | CPG CAROLINA INTERNAL MEDICINE |
| Doing Business As | CMC PRIMARY CARE CONWAY |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2024-05-17 |