1487345344 NPI number — CAROLINA OMS LLC

Table of content: (NPI 1487345344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487345344 NPI number — CAROLINA OMS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLINA OMS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487345344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 BEN CASEY DR STE 115
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT MILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29708-8557
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-548-9910
Provider Business Mailing Address Fax Number:
803-548-9915

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 BEN CASEY DR STE 115
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT MILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29708-8557
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-548-9910
Provider Business Practice Location Address Fax Number:
803-548-9915
Provider Enumeration Date:
05/19/2023

Additional Information

Authorized Official

Authorized Official Last Name:
WEGNER
Authorized Official First Name:
NICHOLAS
Authorized Official Middle Name:
Authorized Official Title or Position:
SURGEON/CO-OWNER
Authorized Official Telephone Number:
803-548-9910

Provider Taxonomy Codes

  • Taxonomy code: 204E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1801976162 . This is a "KENNETH BURTNER" identifier . This identifiers is of the category "OTHER".




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