Provider Demographics
NPI:1750318663
Name:MEDCARE EXPRESS
Entity Type:Organization
Organization Name:MEDCARE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:PAWLIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-971-3627
Mailing Address - Street 1:PO BOX 50517
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-0517
Mailing Address - Country:US
Mailing Address - Phone:843-576-5246
Mailing Address - Fax:843-576-5248
Practice Address - Street 1:1031 HIGHWAY 41
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466
Practice Address - Country:US
Practice Address - Phone:843-971-3627
Practice Address - Fax:843-352-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8500Medicare PIN