Carolinas Medical Alliance Inc | |
2501 S Vance Dr Florence SC 29505-6163 | |
(843) 665-1280 | |
Not Available |
Full Name | Carolinas Medical Alliance Inc |
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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 |
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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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