Carolina Continence Center, LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

18432 Issued in SC

Legal business name

CAROLINA CONTINENCE CENTER, LLC

Practice address

369 Halton Road
Greenville, SC 29607

Phone

(864) 286-1520

Fax

(864) 286-1462

NPI assigned

Jul 20, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Fleming Mattox, MD

Title

Owner

Phone

(864) 286-1520

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1437179983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HALTON ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-286-1520",
            "fax_number": "864-286-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HALTON ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-286-1520",
            "fax_number": "864-286-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CONTINENCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FLEMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-286-1520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "SC",
            "license": "18432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Active Health Chiropractic, Inc.
• Carolina ASC LLC
• Carolina Birth Center Pma
• Carolina Cardiology Consultants, P.a.
• Carolina Case Managers
• Carolina Cornea and Laser Center
• Carolina Dental Alliance of Greenville
• Carolina Dental Group
• Carolina Dermatology of Greenville, PA
• Carolina Dermatology PA (Carolina Dermatology of Greenville)

• Obstetrics Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Obstetrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.