Organization Name: | PSC, INC |
NPI Number: | 1164476735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER S CARNOHAN (PHYSICIAN) |
Mailing Address: | 415 B Robertson Blvd Walterboro |
State: | SC US |
Postal Code: | 294885713 |
Phone Number: | 8435429530 |
Fax Number: | 8435429532 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 22695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |