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Contact Information

CAROLINA BREAST CENTER
154 AMENDMENT AVE
SUITE 104
ROCK HILL, SC29732-3156
 Phone: 803-329-8990
 Fax: 803-329-8991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAROLINA BREAST CENTER

NPI Number 1578690285
LBN Legal business name CAROLINA BREAST CENTER
Authorized official SHIRLEY SCOTT - (BUSINESS OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 11/06/2007 - About 19 years ago
Identifiers
SC License # 9901314
SC Medicaid GP3753
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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