Organization
CAROLINAS MEDICAL ALLIANCE, INC
Active
Other names
Coleman Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L ARWOOD (DIRECTOR)
(615) 628-6038
Entity
Organization
Contact information
Practice address
953 S. PAMPLICO HWY., PAMPLICO, SC 29583-4058
(843) 493-5252
(843) 493-2372
Mailing address
953 S. PAMPLICO HWY., PAMPLICO, SC 29583-4058
(843) 493-5252
(843) 493-2372
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC109
—
SC
Enumeration date
04/27/2007
Last updated
01/02/2014
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