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CAROLINAS MEDICAL ALLIANCE INC NPI 1265482665


NPI Information

NPI: 1265482665
Provider Name: CAROLINAS MEDICAL ALLIANCE INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2501 S VANCE DR
FLORENCE, SC
ZIP 29505
Phone: (843) 665-1280
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CAROLINAS MEDICAL ALLIANCE INC is a general practice in Florence, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAROLINAS MEDICAL ALLIANCE INC NPI is 1265482665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2501 S VANCE DR
FLORENCE, SC
ZIP 29505-163
Phone: (843) 665-1280

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7000.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/17/2007.


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
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17958MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
2GP3939MEDICAIDSOUTH CAROLINA

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

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