Brittsan, Carol Lynne

Brittsan, Carol Lynne is an individual health care provider with primary practice located at 3508 S Live Oak Dr , Moncks Corner SC 29461-8737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Brittsan, Carol Lynne can be contacted via phone (843) 958-2590.

Contact Information

Primary practice address
3508 S Live Oak Dr Moncks Corner SC 29461-8737
Phone: (843) 958-2590
Fax: (843) 606-7996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1414 South Carolina

Profile Details

NPI number 1790012151
LBN Legal business name Brittsan, Carol Lynne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2009
Last updated Nov 2nd, 2021 - about 5 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 1790012151 NPPES
South Carolina MEDICAID 1209PA

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