Organization
CAROLINAS MEDICAL ALLIANCE, INC
Active
Other names
Lake City Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA L ARWOOD (DIRECTOR)
(615) 628-6038
Entity
Organization
Contact information
Practice address
101 JOHN ST, LAKE CITY, SC 29560-2411
(843) 394-2031
(843) 394-7411
Mailing address
101 JOHN ST, LAKE CITY, SC 29560-2411
(843) 394-2031
(843) 394-7411
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC107
—
SC
Enumeration date
04/30/2007
Last updated
01/02/2014
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