Healthcare Provider Details

I. General information

NPI: 1184271314
Provider Name (Legal Business Name): CARETEAM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 08/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 OLD SPARTANBURG HWY
LYMAN SC
29365-1820
US

IV. Provider business mailing address

PO BOX 1875
MT PLEASANT SC
29465-1875
US

V. Phone/Fax

Practice location:
  • Phone: 864-661-1280
  • Fax:
Mailing address:
  • Phone: 843-469-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL JONES
Title or Position: CEO
Credential:
Phone: 843-469-1744