Provider Demographics
NPI:1992805972
Name:MEDICAL CONSULTANTS OF THE CAROLINAS, PA
Entity type:Organization
Organization Name:MEDICAL CONSULTANTS OF THE CAROLINAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-530-0300
Mailing Address - Street 1:PO BOX 25686
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29616-0686
Mailing Address - Country:US
Mailing Address - Phone:864-530-0300
Mailing Address - Fax:864-530-0304
Practice Address - Street 1:89A SONIA DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4540
Practice Address - Country:US
Practice Address - Phone:864-530-0300
Practice Address - Fax:864-530-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1992805972Medicaid
SC1992805972OtherMEDICARE RR
SC1992805972Medicaid