MEDICARE: MEDCARE EXPRESS - NORTH CHARLESTON LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1245805795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDCARE EXPRESS - NORTH CHARLESTON LLC

Provider Business Mailing Address
First Line	:	216 CENTERVIEW DR STE 100
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-3226
Country	:	US
Telephone Number	:	615-656-2750
Fax Number	:	616-656-2745

Provider Business Practice Location Address
First Line	:	3816 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-5069
Country	:	US
Telephone Number	:	843-272-1411
Fax Number	:	843-272-2130

Authorized Official
Title or Position	:	CEO
Name	:	DAVID MALONEY
Credential	:
Telephone Number	:	615-656-2750

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	09/16/2024

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