Individual
CAROLINE LEWIS SANDKUHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(803) 554-4130
Mailing address
3288 BANNOCK DR, FORT MILL, SC 29715-8315
(803) 554-4130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240567
SC
367500000X
Certified Registered Nurse Anesthetist
141224
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
6893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZCW877438380325
BCBS
SC
Enumeration date
06/01/2021
Last updated
11/27/2024
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