PSC, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22695 Issued in SC

Legal business name

PSC, INC

Doing business as

Colleton Internal Medicine

Practice address

415 B Robertson Blvd
Walterboro, SC 29488-5713

Phone

(843) 542-9530

Fax

(843) 542-9532

NPI assigned

May 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter S Carnohan, MD

Title

Physician

Phone

(843) 542-9530

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colleton Internal Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1164476735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 B ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-542-9530",
            "fax_number": "843-542-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 B ROBERTSON BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885713",
            "telephone_number": "843-542-9530",
            "fax_number": "843-542-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CARNOHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-542-9530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "22695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4312",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colleton Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peggy Murray Phalen, APRN
• Moya Pierce, RN
• Heather M Poirier
• Priority Home Care LLC
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• Shannon Morris Pye, DMD
• Mark Andrew Rainwater, DDS
• Rapha Family Footcare
• Dee Anne Hickman Reaves, OTR/L
• James Lee Reavis

• Primary Care Clinic/Center in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.