Caravella, Philip

Caravella, Philip is an individual health care provider with primary practice located at 3361 Highway 9 E , Little River SC 29566-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caravella, Philip can be contacted via phone (843) 497-5929.

Contact Information

Primary practice address
3361 Highway 9 E Little River SC 29566-7826
Fax: (843) 839-4448
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35040427C Ohio

Profile Details

NPI number 1336252931
LBN Legal business name Caravella, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336252931 NPPES
South Carolina Other 7554 MEDICAL LICENSE
South Carolina Other 080080657 MEDICAL LICENSE
South Carolina MEDICAID 0485069 MEDICAL LICENSE

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