Healthcare Provider Details
I. General information
NPI: 1902471287
Provider Name (Legal Business Name): UWH OF THE CAROLINAS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2021
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
83 SPRINGVIEW LN
SUMMERVILLE SC
29485-8154
US
IV. Provider business mailing address
PO BOX 12860
BELFAST ME
04915-4019
US
V. Phone/Fax
- Phone: 843-797-3664
- Fax: 843-820-1007
- Phone: 919-334-0123
- Fax: 919-334-0152
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHELIA
M
BALDWIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 919-334-0150