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Contact Information

CAROLINAS MEDICAL ALLIANCE INC
805 PAMPLICO HWY
STE B 300
FLORENCE, SC29505-6047
 Phone: 843-676-2760
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAROLINAS MEDICAL ALLIANCE INC

NPI # 1679530968
LBN Legal business name CAROLINAS MEDICAL ALLIANCE INC
Authorized official DEBBIE BREWER - (DIRECTOR OF PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2006
Last updated 10/28/2011 - About 15 years ago
Identifiers
SC Medicaid GP3912
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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