Roane, Georgia Carlisle
Roane, Georgia Carlisle is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr Ste 320 , Charleston SC 29414-7713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Roane, Georgia Carlisle can be contacted via phone (843) 571-6067.Contact Information
Primary practice address
2085 Henry Tecklenburg Dr Ste 320
Charleston SC 29414-7713
Phone: (843) 571-6067
Fax: (843) 769-4853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 15657 | South Carolina |
Profile Details
| NPI number | 1184662660 |
|---|---|
| LBN Legal business name | Roane, Georgia Carlisle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jan 25th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184662660 | NPPES |
| South Carolina | MEDICAID | 156574 |
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