Healthcare Provider Details

I. General information

NPI: 1326007857
Provider Name (Legal Business Name): CAROLINA MEDICAL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2097 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5740
US

IV. Provider business mailing address

2097 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5744
US

V. Phone/Fax

Practice location:
  • Phone: 843-852-9777
  • Fax: 843-763-3038
Mailing address:
  • Phone: 843-852-9777
  • Fax: 843-763-3038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL A SPANDORFER
Title or Position: OWNER
Credential: MD
Phone: 843-852-9777