Whalio Doctors

NPI 1417367640

Carolinas Physicians Network, INC.

Organisation Non-Pharmacy Dispensing Site Fort Mill, SC

Practice location

Address
1091a 521 Red Ventures Drive, Fort Mill, SC 29707
Phone
(803) 547-4602
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 1262 (SC)

Registry record

NPI
1417367640
Entity type
Organization
NPI issued
28 Apr 2014
Record last updated
28 Apr 2014

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.