Provider Type Icon

CAROLINA PRIMARY CARE AND DIABETES CENTER LLC NPI 1306191077


NPI Information

NPI: 1306191077
Provider Name: CAROLINA PRIMARY CARE AND DIABETES CENTER LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2084090

Address:
3320 N HIGHWAY 81
ANDERSON, SC
ZIP 29621
Phone: (864) 231-0235
Get Directions

CAROLINA PRIMARY CARE AND DIABETES CENTER LLC is a family medicine in Anderson, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAROLINA PRIMARY CARE AND DIABETES CENTER LLC NPI is 1306191077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 N HIGHWAY 81
ANDERSON, SC
ZIP 29621-626
Phone: (864) 231-0235

The provider's authorized official is Joseph Abraham .
The authorized official title is Owner/manager and has the following contact phone number (610) 216-1008.

The CLIA number assigned to this NPI record is 42D2084090 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 5/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine34406SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.