Healthcare Provider Details

I. General information

NPI: 1184637902
Provider Name (Legal Business Name): AMERICARE HEALTH, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 N PEARL ST
PAGELAND SC
29728-1522
US

IV. Provider business mailing address

905 N PEARL ST
PAGELAND SC
29728-1522
US

V. Phone/Fax

Practice location:
  • Phone: 843-672-3100
  • Fax: 843-672-3102
Mailing address:
  • Phone: 843-672-3100
  • Fax: 843-672-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: MRS. MARGARET ABIMBOLA EDOSOMWAN
Title or Position: FINANCIAL CONTROLLER
Credential:
Phone: 704-535-0400