NPI | 1699955880 |
---|---|
Former Legal Business Name | CONWAY HOSPITAL COMMUNITY SERVICES |
Doing Business As | CMC DIGESTIVE HEALTH |
Doing Business As | CMC DIGESTIVE HEALTH SOCASTEE |
Other Name | CPG GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2023-12-28 |