Carolina Family Practice P A

LBN: Carolina Family Practice P A
Carolina Family Practice P A is an health care organization with primary practice located at 208 Swift Creek Rd , Hartsville SC 29550-4383. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Carolina Family Practice P A can be contacted via phone (843) 383-0770, or through Evans, Kenneth C via phone (843) 383-0770.

Contact Information

Primary practice address
208 Swift Creek Rd Hartsville SC 29550-4383
Phone: (843) 383-0770
Fax: (843) 383-5856
Website:
Map and Directions
Authorized official contact:
Name: Evans, Kenneth C
Phone: (843) 383-0770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10933 South Carolina

Profile Details

NPI number 1760479620
LBN Legal business name Carolina Family Practice P A
DBA Doing business as
Authorized official Evans, Kenneth C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 6th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760479620 NPPES
South Carolina MEDICAID GP2918

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