MEDICARE: CAROLINA ENDOCRINE ASSOCIATES 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	20879	SC

General Provider Information

NPI Number	:	1639524051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA ENDOCRINE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2881 TRICOM ST STE A
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9823
Country	:	US
Telephone Number	:	843-863-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 TRICOM ST
Second Line	:	SUITE A
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9193
Country	:	US
Telephone Number	:	843-863-0088
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EVELINE ADAMS WARING
Credential	:	MD
Telephone Number	:	843-863-0088

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	02/24/2026

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