Organization
CAROLINA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DYER (OFFICE MANAGER)
(864) 281-9999
Entity
Organization
Contact information
Practice address
2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
(864) 281-9999
(864) 281-9990
Mailing address
2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
(864) 281-9999
(864) 281-9990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0342
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402879
CAROLINA CARE PLAN
SC
01
—
110193827
RAILROAD MEDICARE
SC
Enumeration date
08/23/2005
Last updated
12/28/2009
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