| Carolina Integrated Medical Solutions, Llc | |
|
1549 Ebenezer Rd Rock Hill SC 29732-1806 | |
| (803) 980-7190 | |
| (803) 980-7191 |
| Full Name | Carolina Integrated Medical Solutions, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1549 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Urvashi Mehta (OWNER) |
| Authorized Official Contact | 8039807190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Integrated Medical Solutions, Llc 1549 Ebenezer Rd Rock Hill SC 29732-1806 Ph: (803) 980-7190 | Carolina Integrated Medical Solutions, Llc 1549 Ebenezer Rd Rock Hill SC 29732-1806 Ph: (803) 980-7190 |
| NPI Number | 1245698547 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Medicare PECOS PAC ID | 0941582662 |
|---|---|
| Medicare Enrollment ID | O20170112002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245698547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27930 (South Carolina) | Primary |
| Provider Name | Urvashi H Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639108723 PECOS PAC ID: 6305879198 Enrollment ID: I20050913000486 |
| Provider Name | Danielle N Gatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194912485 PECOS PAC ID: 1153411046 Enrollment ID: I20100723000243 |
| Provider Name | Mark Bentley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871515692 PECOS PAC ID: 1658533591 Enrollment ID: I20120510000168 |
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