Provider Demographics
NPI:1487844510
Name:CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:CONWAY HOSPITAL EMERGENCY PROFESSIONAL SERVICES
Other - Org Name:CONWAY HOSPITAL EPS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-347-8114
Mailing Address - Street 1:PO BOX 744247
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4247
Mailing Address - Country:US
Mailing Address - Phone:843-347-7111
Mailing Address - Fax:
Practice Address - Street 1:300 SINGLETON RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-9142
Practice Address - Country:US
Practice Address - Phone:843-347-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty