# CAROLINA INTERNAL MEDICINE PA

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

## Provider details

- **NPI number:** 1609986769
- **Authorized official:** SUDHIRKUMAR PATEL MD (OWNER)
- **Authorized official phone:** (864) 271-3930

## Contact information

- **Practice address:** 1208 AUGUSTA STREET, GREENVILLE, SC 29611
- **Practice address phone:** (864) 271-3930
- **Practice address fax:** (864) 232-2384
- **Mailing address:** 1208 AUGUSTA ST, GREENVILLE, SC 29605-4024
- **Mailing address phone:** (864) 271-3930
- **Mailing address fax:** (864) 232-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14686 | SC | — |
| 207R00000X | Internal Medicine Physician | 19946 | SC | — |
| 207R00000X | Internal Medicine Physician | 7609 | SC | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PC3830 | — | SC |