Healthcare Provider Details

I. General information

NPI: 1689757551
Provider Name (Legal Business Name): CAREERMED ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 TAYLOR ST SUITE D
COLUMBIA SC
29201-3400
US

IV. Provider business mailing address

1713 TAYLOR ST SUITE D
COLUMBIA SC
29201-3400
US

V. Phone/Fax

Practice location:
  • Phone: 803-758-2997
  • Fax: 803-256-5011
Mailing address:
  • Phone: 803-758-2997
  • Fax: 803-256-5011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number0689889
License Number StateSC

VIII. Authorized Official

Name: KENNETH CARTER
Title or Position: PRESIDENT
Credential:
Phone: 803-758-2997