Carolina Geriatric Specialists, Llc

NPI 1124313101 - Specialist - 174400000X

NPI Details
NPI 1124313101
Enumeration Date 06/17/2011
Last Updated 07/16/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MACDONALD MAYES MACDONALD
Position OWNER
Phone (803) 775-1001
Fax (803) 774-1012
Practice Location
244 CHURCH ST
SUMTER SC, 29150-4256, US
Phone (803) 775-1001
Fax (803) 774-1012
Business Location
244 CHURCH ST
SUMTER SC, 29150-4256, US
Phone (803) 775-1001
Fax (803) 774-1012
Toxanomy
Taxonomy Code 174400000X
License State South Carolina
License Number 22541
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According to our database, Carolina Geriatric Specialists, Llc NPI is 1124313101, taxonomy code is 174400000X and license number is 22541, license state is located at South Carolina. Carolina Geriatric Specialists, Llc physically located at 244 Church St, Sumter SC, 29150-4256. NPI Number 1033115704 has the healthcare provider type.

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1124313101 NPI number is provided on an as is basis without warranty of any kind. 1124313101 is maintained by the National Plan & Provider Enumeration System. The contents of Carolina Geriatric Specialists, Llc are for informational purposes only.