| NPI | 1013939529 |
|---|---|
| Other Name | CAROLINA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HELEN BRYSON CEO 803-799-8407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: SC 20390) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-04-29 |