| Carolina Medical Associates | |
|
1787 Allendale Fairfax Highway Fairfax SC 29827 | |
| (803) 632-3421 | |
| (803) 632-2410 |
| Full Name | Carolina Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 1787 Allendale Fairfax Highway, Fairfax, South Carolina |
| Authorized Official Name and Position | Melvin K Hiatt (ADMINISTRATOR) |
| Authorized Official Contact | 8036323311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Medical Associates P.o. Box 218 Fairfax SC 29827 Ph: (803) 632-3421 | Carolina Medical Associates 1787 Allendale Fairfax Highway Fairfax SC 29827 Ph: (803) 632-3421 |
| NPI Number | 1144370503 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 09/30/2014 |
| Medicare PECOS PAC ID | 2567371610 |
|---|---|
| Medicare Enrollment ID | O20120626000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144370503 | NPI | - | NPPES |
| RHC148 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
Low Country Health Care System, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Revoluntionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451 | |
Carolina Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1787 Allendale Fairfax Hwy, Fairfax, SC 29827 Phone: 803-632-3311 Fax: 803-632-3415 |