NPI 1104223908 · live from the CMS NPI Registry
Conway Hospital, INC.
Psychiatry & Neurology, Neurology in Conway, SC. National Provider Identifier 1104223908, active.
NPI record
| NPI | 1104223908 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 8024 Myrtle Trace Dr, Conway, SC 29526 |
| Practice phone | 843-234-8950 |
| Mailing address | 300 Singleton Ridge Rd, Attn: Patient Accounting, Conway, SC 29526 |
| Enumerated | November 24, 2014 |
| Last updated | February 15, 2022 |
| Authorized official | Mary Ellen Artioli, Credentialing Specialist |
| Other names | Conway Hospital Community Services; Cpg Neurology; Cmc Neurology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | — (SC) |
| Physician Assistant, Medical | 363AM0700X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.