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Organization

CAROLINAS MEDICAL ALLIANCE INC

Active
Parent organization
CHS/COMMUNITY HEALTH SYSTEMS, INC.
Other names
Carolinas Medical Alliance - Lake City Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHS/COMMUNITY HEALTH SYSTEMS, INC.
Authorized official
PAT WRIGHT (DIRECTOR)
(615) 465-7633
Entity
Organization

Contact information

Practice address
148 SAULS ST, LAKE CITY, SC 29560-2631
(843) 374-3621
Mailing address
148 SAULS ST, LAKE CITY, SC 29560-2631
(843) 374-3621

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/03/2014
Last updated
12/03/2014
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