Carolina Breast Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9901314 Issued in SC

Legal business name

CAROLINA BREAST CENTER

Practice address

154 Amendment Ave
Suite 104
Rock Hill, SC 29732-3156

Phone

(803) 329-8990

Fax

(803) 329-8991

NPI assigned

Feb 28, 2007

Last updated

Nov 6, 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

Shirley Kate Scott, M.D.

Title

Business Owner

Phone

(803) 329-8990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1578690285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE",
            "address_2": "SUITE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323156",
            "telephone_number": "803-329-8990",
            "fax_number": "803-329-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE",
            "address_2": "SUITE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323156",
            "telephone_number": "803-329-8990",
            "fax_number": "803-329-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BREAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "803-329-8990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "9901314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina ABA
• Carolina Anesthesia and Pain Management, LLC
• Carolina Asthma and Allergy Center, PA
• Carolina Blood and Cancer Care Associates, P.a.
• Carolina Blood and Cancer Care Associates, P.a.
• Carolina Cancer Specialists
• Carolina Cardiology Associates LLC
• Carolina Chiropractic
• Carolina Community Care Inc (Hospice & Community Care)
• Carolina Community Care, Inc. (Hospice & Community Care)

• Surgery Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.