Carolina Geriatric Specialists, Llc

LBN: Carolina Geriatric Specialists, Llc
Carolina Geriatric Specialists, Llc is an health care organization with primary practice located at 244 Church St , Sumter SC 29150-4256. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Carolina Geriatric Specialists, Llc can be contacted via phone (803) 775-1001, or through Dubose, Macdonald Mayes via phone (803) 775-1001.

Contact Information

Primary practice address
244 Church St Sumter SC 29150-4256
Phone: (803) 775-1001
Fax: (803) 774-1012
Website:
Map and Directions
Authorized official contact:
Name: Dubose, Macdonald Mayes Doctor of Medicine (MD)
Phone: (803) 775-1001

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22541 South Carolina

Profile Details

NPI number 1124313101
LBN Legal business name Carolina Geriatric Specialists, Llc
DBA Doing business as
Authorized official Dubose, Macdonald Mayes Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2011
Last updated Jul 16th, 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 1124313101 NPPES
South Carolina MEDICAID 1265418164

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