# CAROLINA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1699768986
- **Authorized official:** DIANE DYER (OFFICE MANAGER)
- **Authorized official phone:** (864) 281-9999

## Contact information

- **Practice address:** 2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
- **Practice address phone:** (864) 281-9999
- **Practice address fax:** (864) 281-9990
- **Mailing address:** 2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
- **Mailing address phone:** (864) 281-9999
- **Mailing address fax:** (864) 281-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0342 | SC | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 12/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0402879 | CAROLINA CARE PLAN | SC |
| 01 | — | 110193827 | RAILROAD MEDICARE | SC |