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Contact Information

CAROLINA SURG ASSOC PA
9326 MEDICAL PLAZA DR
STE D
CHARLESTON, SC29406-9138
 Phone: 843-797-5353
 Fax: 843-797-6496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CAROLINA SURG ASSOC PA

NPI # 1689610982
LBN Legal business name CAROLINA SURG ASSOC PA
Authorized official MICHAEL SABBACK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2006
Last updated 11/09/2007 - About 19 years ago
Identifiers
SC License # SC6699
SC Medicaid PA1658
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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