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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

NPI Number 1578772976
LBN Legal business name FAMILY MEDICINE & PSYCHIATRY OF THE CAROLINAS AT ROCK HILL PC
Authorized official DANIEL PISTONE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
SC License # 2600
SC License # 26858
SC License # 2837
SC License # 6904
NC Medicaid 5903330
SC Medicaid GP4324
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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