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
Fax: (843) 769-4853
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184662660 NPPES
South Carolina MEDICAID 156574

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