| Carolinas Medical Alliance Inc | |
|
101 John St Lake City SC 29560-2411 | |
| (843) 394-2031 | |
| Not Available |
| Full Name | Carolinas Medical Alliance Inc |
|---|---|
| Speciality | General Practice |
| Location | 101 John St, Lake City, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolinas Medical Alliance Inc 101 John St Lake City SC 29560-2411 Ph: (843) 394-2031 | Carolinas Medical Alliance Inc 101 John St Lake City SC 29560-2411 Ph: (843) 394-2031 |
| NPI Number | 1134186455 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 10/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134186455 | NPI | - | NPPES |
| GP3161 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Musc Health Primary Care - Ron Mcnair Blvd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-792-1414 | |
Palmetto Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mercy St, Lake City, SC 29560 Phone: 843-374-9355 Fax: 843-374-9358 | |
East Main Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E Main St, Lake City, SC 29560 Phone: 843-374-7020 Fax: 843-374-7021 | |
Hopehealth School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-667-9414 Fax: 843-374-2713 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St., Lake City, SC 29560 Phone: 843-687-0435 | |
Lake City Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8380 Fax: 843-374-5247 |