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Contact Information

CAROLINA SURGERY, PA
109 OMNI DR
SUITE A
SENECA, SC29672-9448
 Phone: 864-885-1978
 Fax: 864-885-1980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAROLINA SURGERY PA · (Female)

NPI Number 1316919467
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2006
Last updated 02/26/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 22165
  • SC Medicaid 221655
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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