Individual
IAN MICHAEL CARRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(843) 792-1414
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1939
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/09/2013
Last updated
06/24/2022
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