Provider Demographics
NPI:1922018100
Name:THE CAROLINA HAND CENTER
Entity Type:Organization
Organization Name:THE CAROLINA HAND CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-585-4263
Mailing Address - Street 1:391 SERPENTINE DR
Mailing Address - Street 2:SUITE 440
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3096
Mailing Address - Country:US
Mailing Address - Phone:864-585-4263
Mailing Address - Fax:864-585-9712
Practice Address - Street 1:391 SERPENTINE DR
Practice Address - Street 2:SUITE 440
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3096
Practice Address - Country:US
Practice Address - Phone:864-585-4263
Practice Address - Fax:864-585-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1097Medicaid
SCCG6979OtherRAILROAD MEDICARE
SC0995050001Medicare NSC
SCCG6979OtherRAILROAD MEDICARE