Healthcare Provider Details

I. General information

NPI: 1013002013
Provider Name (Legal Business Name): CAROLINA BLOOD AND CANCER CARE ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 04/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 HEALTH CARE DR
ROCK HILL SC
29732-3858
US

IV. Provider business mailing address

1583 HEALTH CARE DR
ROCK HILL SC
29732-3858
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-7772
  • Fax: 803-329-9821
Mailing address:
  • Phone: 803-329-7772
  • Fax: 803-329-9821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberMD 13388
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES DUNCAN WELSH
Title or Position: CEO
Credential: M.D.
Phone: 803-329-7772