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Conway Hospital Community Services

Internal Medicine, Bariatric Medicine in Conway, SC. Organization (NPI-2).

NPI number1518268317
StatusActive
Last updated in NPPESMay 10, 2016

Details

NPI
1518268317
Entity type
Organization (NPI-2)
Legal business name
Conway Hospital Community Services
Organization subpart
No
Enumeration date
Nov 10, 2010
Last updated
May 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RB0002X Internal Medicine, Bariatric Medicine––Yes
208600000X Surgery––

Other names

  • Cpg Coastal Metabolic & Bariatric Surgery (Doing Business As)

Practice location

2376 Cypress Cir
Suite 103
Conway, SC 29526-8964

Phone 843-347-3900 · Fax 843-347-3930

Mailing address

Po Box 2180
Conway, SC 29528-2180

Phone 843-234-5139 · Fax 843-234-6822

Authorized official

Bret A Barr
Cfo
8433477111

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