NPI 1134186455

Carolinas Medical Alliance INC

Organisation General Practice Physician Lake City, SC

Practice location

Address: 101 John St, Lake City, SC 29560-2411
Phone: (843) 394-2031

Authorised official

Name: Debbie Brewer
Title: Director of Provider Enrollment
Phone: (615) 465-7000

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in South Carolina →

Registry record

NPI: 1134186455
Entity type: Organization
NPI issued: 28 Apr 2006
Record last updated: 29 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.