Organization
CAROLINA FAMILY CARE, INC
Active
Other names
MUSC Physicians PCP
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (MANAGER)
(843) 876-1344
Entity
Organization
Contact information
Practice address
2125 CHARLIE HALL BLVD, SUITE 2A, CHARLESTON, SC 29414-5879
(843) 571-6555
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75-17508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1179
—
SC
Enumeration date
06/28/2006
Last updated
01/09/2019
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