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Organization
CHILDREN'S MEDICAL ASSESSMENT CENTER DBA CAROLINA MEDICAL ASSESSMENT C
Active
Organization
CHILDREN'S MEDICAL ASSESSMENT CENTER DBA CAROLINA MEDICAL ASSESSMENT C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORA FLOWERS (PROGRAM DIRECTOR)
(843) 529-4533
Entity
Organization
Contact information
Practice address
3870 LEEDS AVE, SUITE 104, NORTH CHARLESTON, SC 29405-7493
(843) 529-4533
(843) 529-4539
Mailing address
3870 LEEDS AVE, SUITE 104, NORTH CHARLESTON, SC 29405-7493
(843) 529-4533
(843) 529-4539
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20004193
SELECT HEALTH OF SC
SC
05
—
GP1443
—
SC
Enumeration date
10/17/2005
Last updated
08/22/2020
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