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Carrie L Cormack, PNP
Pediatric Nurse Practitioner in Charleston, South Carolina
NPI 1184678831

Carrie L Cormack is a Pediatric Nurse Practitioner based in Charlotte, SC and is specialized in Pediatrics. Carrie L Cormack practices in Charleston, SC and has the professional credentials of PNP. The NPI Number for Carrie L Cormack is 1184678831 and holds a License No. 1880 (South Carolina).

The current practice location address for Carrie L Cormack is 171 Ashley Ave, Charleston, SC and can be reached out via phone at 843-792-1414.

Location: 171 Ashley Ave, Charleston, SC, 28275-1461
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Provider Profile Details
NPI Number
1184678831
Provider Name
Carrie L Cormack
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
171 Ashley Ave, Charleston, SC, 28275-1461
Phone Number
843-792-1414
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0686 05 SC
institution
Provider Business Practice Location Address Details
Address
171 Ashley Ave
City
State
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider Business Mailing Address Details
Address
171 Ashley Ave
City
State
Zip
29425-0001
Phone Number
843-792-1414
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1880 (South Carolina)
Definition
Definition to come...
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