Provider Demographics
NPI:1326749771
Name:NEW DAY SC COM LLC
Entity Type:Organization
Organization Name:NEW DAY SC COM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:FAULKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-992-9226
Mailing Address - Street 1:2141 HOFFMEYER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4077
Mailing Address - Country:US
Mailing Address - Phone:843-992-9226
Mailing Address - Fax:843-992-9226
Practice Address - Street 1:2141 HOFFMEYER RD STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4077
Practice Address - Country:US
Practice Address - Phone:843-992-9226
Practice Address - Fax:843-992-9226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty