Individual
HANS T CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 281-9440
(864) 281-9443
Mailing address
115 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 281-9440
(864) 281-9443
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
36780
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36780
STATE LICSENCE
—
Enumeration date
04/20/2009
Last updated
09/12/2014
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