Carlson, Geoffrey

Carlson, Geoffrey is an sole proprietor health care provider with primary practice located at 210 S Broad St , Clinton SC 29325-2505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Carlson, Geoffrey can be contacted via phone (864) 833-0973.

Contact Information

Primary practice address
210 S Broad St Clinton SC 29325-2505
Fax: (864) 241-9290
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA000359L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5248 South Carolina

Profile Details

NPI number 1417990904
LBN Legal business name Carlson, Geoffrey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Jul 9th, 2024 - about 2 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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