National Provider Identifier Database

CAROLINAS MEDICAL ALLIANCE INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CAROLINAS MEDICAL ALLIANCE INC
805 PAMPLICO HWY
STE B 300
FLORENCE, SC29505-6047
Phone: 843-676-2760
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Surgery 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for CAROLINAS MEDICAL ALLIANCE INC

NPI Number 1679530968
Legal business name
LBN
CAROLINAS MEDICAL ALLIANCE INC
Authorized official DEBBIE BREWER - (DIRECTOR OF PROVIDER ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 04/28/2006
Last updated 10/28/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: GP3912

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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