CAROLINA DIABETES & KIDNEY CENTER, LLC

SUMTER, SC
NPI1689128951
Entity TypeOrganization
Authorized ContactUSAH LILAVIVAT
President
803-469-7950
Organization Subpart ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Additional Taxonomies207R00000X Internal Medicine
207RH0005X Internal Medicine, Hypertension Specialist
207RI0200X Internal Medicine, Infectious Disease
207RN0300X Internal Medicine, Nephrology
207RR0500X Internal Medicine, Rheumatology
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2016-08-04
Last Update Date2016-08-04
Business Address
CAROLINA DIABETES & KIDNEY CENTER, LLC
625 W WESMARK BLVD
SUMTER, SC 29150-1900
Phone number: 803-469-7950
Mailing Address
CAROLINA DIABETES & KIDNEY CENTER, LLC
625 W WESMARK BLVD
SUMTER, SC 29150-1900
Phone number: 803-469-7950