Healthcare Provider Details

I. General information

NPI: 1932774213
Provider Name (Legal Business Name): UWH OF THE CAROLINAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 PHYSICIANS DR STE 110
CHARLESTON SC
29414-5351
US

IV. Provider business mailing address

PO BOX 12860
BELFAST ME
04915-4019
US

V. Phone/Fax

Practice location:
  • Phone: 437-406-7008
  • Fax: 843-745-9428
Mailing address:
  • Phone: 919-334-0123
  • Fax: 919-334-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ERICA HERNANDEZ
Title or Position: DIRECTOR
Credential:
Phone: 561-300-2410