| NPI | 1720350317 |
|---|---|
| Doing Business As | CMC PRIMARY CARE SOCASTEE |
| Former Legal Business Name | CONWAY HOSPITAL COMMUNITY SERVICES |
| Other Name | CPG FAMILY MEDICINE URGENT CARE SOCASTEE |
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ARTIOLI Credentialing Specialist 843-234-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2024-05-17 |