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General NPI Number Information
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NPI Number | 1194687285
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Entity Type | Organization
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Legal Business Name | HEALTHCARE OF THE CAROLINAS, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2260 VISTA RD
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City | FORT MILL
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State | SC
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Zip | 29708-7800
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Country | US
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Telephone | 839-400-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 HIGHWAY 160 W STE 101-259
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City | FORT MILL
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State | SC
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Zip | 29708-8009
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Country | US
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Telephone | 803-681-0158
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Fax | 928-218-6384
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Authorized Official
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Title or Position | PHYSICIAN/HOSPITALIST
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Name | COREY WILSON
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Credential | MD
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Telephone | 803-681-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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