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Organization
CAROLINAS MEDICAL ALLIANCE INC
Active
Organization
CAROLINAS MEDICAL ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
805 PAMPLICO HWY, STE A 230, FLORENCE, SC 29505-6047
(843) 669-1220
Mailing address
805 PAMPLICO HWY, STE A 230, FLORENCE, SC 29505-6047
(843) 669-1220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
SC
207P00000X
Emergency Medicine Physician
—
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
207R00000X
Internal Medicine Physician
—
SC
207V00000X
Obstetrics & Gynecology Physician
—
SC
208600000X
Surgery Physician
—
SC
208D00000X
General Practice Physician
—
SC
208M00000X
Hospitalist Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4003
—
SC
Enumeration date
05/10/2006
Last updated
12/05/2007
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