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NPI Code Detail

MEDICARE: PATRICK C CAREY M.D.

MEDICARE: PATRICK C CAREY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD 28742SC

General Provider Information

NPI Number : 1417941345
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK C CAREY M.D.
Provider Business Mailing Address
First Line : 1836 W GEORGIA RD.
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29680-7212
Country : US
Telephone Number : 864-688-1700
Fax Number : 864-688-1705
Provider Business Practice Location Address
First Line : 1836 W GEORGIA RD.
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29680-7212
Country : US
Telephone Number : 864-688-1700
Fax Number : 864-688-1705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 08/29/2019

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