| Cmc Primary Care Coastal Carolina University | |
|
251 University Blvd Ste A Conway SC 29526-8834 | |
| (843) 347-0524 | |
| (843) 347-0655 |
| Full Name | Cmc Primary Care Coastal Carolina University |
|---|---|
| Speciality | Internal Medicine |
| Location | 251 University Blvd, Conway, South Carolina |
| Authorized Official Name and Position | Mary Ellen Artioli (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8432346946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Primary Care Coastal Carolina University 300 Singleton Ridge Rd Attention Pns Credentialing Conway SC 29526-9142 Ph: (843) 234-6946 | Cmc Primary Care Coastal Carolina University 251 University Blvd Ste A Conway SC 29526-8834 Ph: (843) 347-0524 |
| NPI Number | 1306689237 |
|---|---|
| Provider Enumeration Date | 06/18/2024 |
| Last Update Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306689237 | NPI | - | NPPES |
| PG2280 | Medicaid | SC |
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