Provider Demographics
NPI:1326007857
Name:CAROLINA MEDICAL CARE, INC.
Entity Type:Organization
Organization Name:CAROLINA MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPANDORFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-852-9777
Mailing Address - Street 1:2097 HENRY TECKLENBURG DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5744
Mailing Address - Country:US
Mailing Address - Phone:843-852-9777
Mailing Address - Fax:843-763-3038
Practice Address - Street 1:2097 HENRY TECKLENBURG DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5740
Practice Address - Country:US
Practice Address - Phone:843-852-9777
Practice Address - Fax:843-763-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies