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NPI Profile for CONWAY HOSPITAL INC in CONWAY, SC.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine |
| NPI Number | 1659834422 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/09/2019 | |
| Last updated | 05/14/2026 - About 3 weeks ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONWAY HOSPITAL, INC.
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| CONWAY HOSPITAL, INC. 4300 HIGHWAY 90 CONWAY, SC |
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CONWAY HOSPITAL, INC.