| Cpg Internal Medicine Myrtle Trace | |
|
8004 Myrtle Trace Dr Conway SC 29526-8945 | |
| (843) 234-8939 | |
| (843) 234-8959 |
| Full Name | Cpg Internal Medicine Myrtle Trace |
|---|---|
| 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 |
|---|---|
| Cpg Internal Medicine Myrtle Trace 300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 Ph: (843) 234-6946 | Cpg Internal Medicine Myrtle Trace 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 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548573322 | NPI | - | NPPES |
| GP4505 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | () | 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 |
Careteam Plus-mobile Unit #2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005 |
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 |
Cmc Primary Care Highway 90 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Highway 90, Conway, SC 29526 Phone: 843-399-3377 |
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 |