CAROLINAS MEDICAL ALLIANCE INC (NPI# 1861459174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861459174 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE INC |
| Practice Address |
105 N Railroad Ave Lamar SC 29069-9727 |
| Practice Telephone | 8433265777 |
| Mailing Telephone | 8433265777 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | V KAREN FLINN (VP) |
| Authorized Official Telephone | 3615790315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP2826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1568869071 | Carolinas Medical Alliance Inc | Family Medicine | 301 Pearl St, Darlington, SC 29532-3812 | 2014-11-26 |
| 1265499537 | Carolinas Medical Alliance Inc | Internal Medicine | 953 Pamplico Hwy South, Pamplico, SC 29583-4058 | 2006-04-28 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1134527229 | Carolinas Medical Alliance Inc | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2014-12-05 |
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| 1912306572 | Carolinas Medical Alliance Inc | Family Medicine | 2501 S Vance Dr Ste A, Florence, SC 29505-6163 | 2014-08-20 |
| Street Address |
105 N RAILROAD AVE |
| City | LAMAR |
| State | SC |
| Zip Code | 29069-9727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972723096 | Carolinas Medical Alliance, Inc | Clinic/Center | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073858247 | Cynthia Katko | Speech-Language Pathologist | 100 Providence Road, Lamar, SC 29069 | 2012-11-29 |
| 1538543723 | Genesis Healthcare Inc | Community Health Worker | 301 W. Main St., Lamar, SC 29069 | 2015-07-17 |
| 1558694299 | Tony Skorput, Pa | Physical Therapist | 121 West Main Street, Heirloom Plaza, Suites D & E, Lamar, SC 29069 | 2009-09-14 |
| 1669660528 | Piggly Wiggly Retail Stores, Inc. | Durable Medical Equipment & Medical Supplies | 100 Railroad Ave., Lamar, SC 29069-0625 | 2007-10-04 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1265996995 | Ashley Hubbard Hilburn | Nurse Practitioner | 301 W Main St, Lamar, SC 29069-7102 | 2019-01-28 |
| 1497158778 | April Watford | Registered Nurse | 101 Mclendon St, Lamar, SC 29069-8633 | 2014-10-01 |
| 1275587834 | Wes Corporation, Inc. | Clinic/Center | 696 Davis St, Lamar, SC 29069-9132 | 2006-05-19 |
| 1558606608 | Gretchen Anne Mccathern | Physical Therapist | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2012-11-30 |
| 1366981144 | Amy Andrews Bullard | Registered Nurse | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2017-02-14 |
| Find all providers in zip 29069 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.