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Organization
UROLOGY CLINIC AT CAROLINAS
Active
Organization
UROLOGY CLINIC AT CAROLINAS
Active
Parent organization
CAROLINAS MEDICAL ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL ALLIANCE
Authorized official
MR. LARRY D RABON M.D. (PHYSICIAN)
(843) 674-1670
Entity
Organization
Contact information
Practice address
1594 FREEDOM BLVD STE 203, FLORENCE, SC 29505-6046
(843) 674-1670
(843) 674-4707
Mailing address
1594 FREEDOM BLVD STE 203, FLORENCE, SC 29505-6046
(843) 674-1670
(843) 674-4707
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053952
—
SC
Enumeration date
05/11/2016
Last updated
05/11/2016
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