Provider Demographics
NPI:1942508742
Name:CAROLINA URGENT AND FAMILY CARE
Entity Type:Organization
Organization Name:CAROLINA URGENT AND FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDESH
Authorized Official - Middle Name:H
Authorized Official - Last Name:KEDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-285-2225
Mailing Address - Street 1:1130 HIGHWAY 9 BYP W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-1709
Mailing Address - Country:US
Mailing Address - Phone:803-285-2225
Mailing Address - Fax:803-285-2333
Practice Address - Street 1:1130 HIGHWAY 9 BYPASS W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720
Practice Address - Country:US
Practice Address - Phone:803-285-2225
Practice Address - Fax:803-285-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization