Organization
UROLOGY CLINIC AT CAROLINAS
Active
Parent organization
CAROLINAS MEDICAL ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL ALLIANCE
Authorized official
MR. LARRY D RABON M.D. (PHYSICIAN)
(843) 674-1670
Entity
Organization
Contact information
Practice address
1594 FREEDOM BLVD STE 203, FLORENCE, SC 29505-6046
(843) 674-1670
(843) 674-4707
Mailing address
1594 FREEDOM BLVD STE 203, FLORENCE, SC 29505-6046
(843) 674-1670
(843) 674-4707
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053952
—
SC
Enumeration date
05/11/2016
Last updated
05/11/2016
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