| Carolinas Medical Alliance Inc | |
|
2501 S Vance Dr Florence SC 29505-6163 | |
| (843) 665-1280 | |
| Not Available |
| Full Name | Carolinas Medical Alliance Inc |
|---|---|
| Speciality | General Practice |
| Location | 2501 S Vance Dr, Florence, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Medical Alliance Inc 2501 S Vance Dr Florence SC 29505-6163 Ph: (843) 665-1280 | Carolinas Medical Alliance Inc 2501 S Vance Dr Florence SC 29505-6163 Ph: (843) 665-1280 |
| NPI Number | 1265482665 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265482665 | NPI | - | NPPES |
| GP3939 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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