Organization
CAROLINAS MEDICAL ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
953 PAMPLICO HWY SOUTH, PAMPLICO, SC 29583-4058
(843) 493-5252
Mailing address
953 PAMPLICO HWY SOUTH, PAMPLICO, SC 29583-4058
(843) 493-5252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3154
—
SC
05
—
GP3156
—
SC
Enumeration date
04/28/2006
Last updated
09/12/2008
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