# I MED CAROLINAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053800821
- **Authorized official:** FARSHAD HOSSEINI (MANAGING DIRECTOR)
- **Authorized official phone:** (877) 862-0061

## Contact information

- **Practice address:** 105 STONE VILLAGE DR, FORT MILL, SC 29708-6489
- **Practice address phone:** (803) 543-2610
- **Mailing address:** 2764 PLEASANT RD \# 11605, FORT MILL, SC 29708-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 05/07/2018