Organization
CAROLINAS MEDICAL ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
(615) 778-1502
Entity
Organization
Contact information
Practice address
1594 FREEDOM BLVD, SUITE 203, FLORENCE, SC 29505
(843) 629-7200
Mailing address
1594 FREEDOM BLVD, SUITE 203, FLORENCE, SC 29505-6046
(843) 629-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
207R00000X
Internal Medicine Physician
Primary
—
SC
208800000X
Urology Physician
—
SC
208D00000X
General Practice Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2829
—
SC
Enumeration date
05/03/2006
Last updated
08/15/2018
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