| |
8004 Myrtle Trace Dr Conway SC 29526-8945 | |
(843) 234-8939 | |
(843) 234-8959 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 8004 Myrtle Trace Dr, 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 |
---|---|
300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 Ph: (843) 234-6946 | 8004 Myrtle Trace Dr Conway SC 29526-8945 Ph: (843) 234-8939 |
NPI Number | 1548573322 |
---|---|
Provider Enumeration Date | 07/21/2010 |
Last Update Date | 09/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548573322 | NPI | - | NPPES |
GP4505 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |