Organization
CAROLINA FAMILY PRACTICE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C EVANS (MD/OWNER)
(843) 383-0770
Entity
Organization
Contact information
Practice address
208 SWIFT CREEK RD, HARTSVILLE, SC 29550-4383
(843) 383-0770
(843) 383-5856
Mailing address
208 SWIFT CREEK RD, HARTSVILLE, SC 29550-4383
(843) 383-0770
(843) 383-5856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10933
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2918
—
SC
Enumeration date
10/05/2005
Last updated
03/06/2015
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