Organization
CAROLINAS MEDICAL ALLIANCE INC
Active
Other names
CAROLINAS IMAGING-LAKE CITY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization
Contact information
Practice address
148 SAULS ST, SUITE F, LAKE CITY, SC 29560-2677
(843) 669-9440
(843) 669-9443
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
05/09/2017
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