Carolinas Medical Alliance INC

NPI #1134186455 in Lake City, South Carolina

Provider Information

NPI Number: 1134186455
Entity Type: Organization
Organization Name: Carolinas Medical Alliance INC
Primary Specialty: General Practice
Enumeration Date: Apr 28, 2006
Last Updated: Oct 29, 2007

Practice Location

Address: 101 JOHN ST
City: Lake City
State: South Carolina
ZIP Code: 29560-2411
Phone: (843) 394-2031

Authorized Official

Name: DEBBIE BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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