Organization
CAROLINA BREAST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY KATE SCOTT M.D. (BUSINESS OWNER)
(803) 329-8990
Entity
Organization
Contact information
Practice address
154 AMENDMENT AVE, SUITE 104, ROCK HILL, SC 29732-3156
(803) 329-8990
(803) 329-8991
Mailing address
154 AMENDMENT AVE, SUITE 104, ROCK HILL, SC 29732-3156
(803) 329-8990
(803) 329-8991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9901314
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3753
—
SC
Enumeration date
02/28/2007
Last updated
11/06/2007
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