Carolina Family Psychiatry, Llc in Mt Pleasant - Psychiatry
Carolina Family Psychiatry, Llc - NPI 1124176896
Carolina Family Psychiatry, Llc is a Psychiatry in Mt Pleasant, South Carolina. Carolina Family Psychiatry, Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Carolina Family Psychiatry, Llc is 1124176896. The last update date is 2020-08-22.
Carolina Family Psychiatry, Llc's current location address is 300 W Coleman Blvd, Mt Pleasant, South Carolina. You can contact this provider via phone number 8439719495 and fax number 8439719697. The mailing address for Carolina Family Psychiatry, Llc is 300 W Coleman Blvd, Mt Pleasant, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carolina Family Psychiatry, Llc |
|---|---|
| Address | 300 W Coleman Blvd, Mt Pleasant, South Carolina |
| Phone Number | 8439719495 |
| Fax Number | 8439719697 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Broderick-Cantwell J. John |
| Credentials | M.D. |
| Telephone Number | 8439719495 |
NPI Number Detail
| NPI Number | 1124176896 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 W Coleman Blvd |
|---|---|
| City | Mt Pleasant |
| State | South Carolina (SC) |
| Post Code | 294643429 |
| Phone Number | 8439719495 |
| Fax Number | 8439719697 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 28903 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28903 | SC | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Carolina Family Psychiatry, Llc by the Centers for Medicare & Medicaid Services?
The Carolina Family Psychiatry, Llc has been issued the NPI (National Provider Identifier) 1124176896. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Carolina Family Psychiatry, Llc is physically located?
The Carolina Family Psychiatry, Llc is situated at the following address: 300 W Coleman Blvd, Mt Pleasant, SC 294643429.
What is Carolina Family Psychiatry, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolina Family Psychiatry, Llc's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124176896 to Carolina Family Psychiatry, Llc?
The Carolina Family Psychiatry, Llc received its 1124176896 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information pertaining to Carolina Family Psychiatry, Llc most recently updated or revised?
The details related to Carolina Family Psychiatry, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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