Organization
CAROLINA'S MEDICAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MCINTYRE (MEDICAL STAFF COORDINATOR)
(803) 776-4000
Entity
Organization
Contact information
Practice address
636 GREEN ST, KINGSTREE, SC 29556-2708
(843) 354-3572
Mailing address
636 GREEN ST, KINGSTREE, SC 29556-2708
(843) 354-3572
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13816
SC
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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