Organization
CAROLINA FAMILY CARE, INC
Active
Other names
MUSC Physicians PCP Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (MANAGER)
(843) 876-1344
Entity
Organization
Contact information
Practice address
1600 MIDTOWN AVE, MT PLEASANT, SC 29464-3771
(843) 876-8110
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 573-1517
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
20-17508
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L00125
—
SC
Enumeration date
02/27/2007
Last updated
01/09/2019
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