# CAROLINA'S MEDICAL ALLIANCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1255446837
- **Authorized official:** MARTHA MCINTYRE (MEDICAL STAFF COORDINATOR)
- **Authorized official phone:** (803) 776-4000

## Contact information

- **Practice address:** 636 GREEN ST, KINGSTREE, SC 29556-2708
- **Practice address phone:** (843) 354-3572
- **Mailing address:** 636 GREEN ST, KINGSTREE, SC 29556-2708
- **Mailing address phone:** (843) 354-3572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 13816 | SC | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020