Carswell, Kristina Nicole

Carswell, Kristina Nicole is an individual health care provider with primary practice located at 406 46Th Ave N , Myrtle Beach SC 29577-2732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carswell, Kristina Nicole can be contacted via phone (478) 397-0947.

Contact Information

Primary practice address
406 46Th Ave N Myrtle Beach SC 29577-2732
Phone: (478) 397-0947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME116618 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 85877 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39717 South Carolina

Profile Details

NPI number 1407174147
LBN Legal business name Carswell, Kristina Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2010
Last updated Aug 12th, 2020 - about 6 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 1407174147 NPPES
Florida MEDICAID 009265300

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