Provider Demographics
NPI:1891817656
Name:CAROLINA CANCER SPECIALISTS
Entity Type:Organization
Organization Name:CAROLINA CANCER SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-329-9088
Mailing Address - Street 1:225 S HERLONG AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2730
Mailing Address - Country:US
Mailing Address - Phone:803-329-9088
Mailing Address - Fax:803-329-9075
Practice Address - Street 1:225 S HERLONG AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2730
Practice Address - Country:US
Practice Address - Phone:803-329-9088
Practice Address - Fax:803-329-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16281207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7867Medicare ID - Type Unspecified
SCF03053Medicare UPIN