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Contact Information

FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC
1420 EBENEZER RD
SUITE 105
ROCK HILL, SC29732-2743
 Phone: 803-324-7792
 Fax: 803-981-7792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for FAMILY MEDICINE PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC · (Female)

NPI Number 1578772976
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 2600
  • SC License # 26858
  • SC License # 2837
  • SC License # 6904
  • NC Medicaid 5903330
  • SC Medicaid GP4324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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