Provider Demographics
NPI:1871689901
Name:ADAMS, CAROL TWITTY (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:TWITTY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E CHEVES ST
Mailing Address - Street 2:MCLEOD FAMILY MEDICINE CENTER
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2617
Mailing Address - Country:US
Mailing Address - Phone:843-777-2826
Mailing Address - Fax:843-777-5471
Practice Address - Street 1:555 E CHEVES ST
Practice Address - Street 2:MCLEOD FAMILY MEDICINE CENTER
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2617
Practice Address - Country:US
Practice Address - Phone:843-777-2826
Practice Address - Fax:843-777-5471
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC471103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPS0064Medicaid
SCPS0064Medicaid