Healthcare Provider Details

I. General information

NPI: 1750318663
Provider Name (Legal Business Name): MEDCARE EXPRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 HIGHWAY 41 SUITE 100
MOUNT PLEASANT SC
29466
US

IV. Provider business mailing address

PO BOX 50517
SUMMERVILLE SC
29485-0517
US

V. Phone/Fax

Practice location:
  • Phone: 843-971-3627
  • Fax: 843-352-0265
Mailing address:
  • Phone: 843-576-5246
  • Fax: 843-576-5248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH W. PAWLIK
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 843-971-3627