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Organization

CAROLINAS MEDICAL ALLIANCE INC

Active
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Organization

CAROLINAS MEDICAL ALLIANCE INC

Active
Other names
CAROLINAS IMAGING-LAKE CITY
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization

Contact information

Practice address
148 SAULS ST, SUITE F, LAKE CITY, SC 29560-2677
(843) 669-9440
(843) 669-9443
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2085R0202X
Diagnostic Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
03/03/2017
Last updated
05/09/2017
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