Individual
MRS. KARA DUNBAR LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
8091 RIVERS AVE, NORTH CHARLESTON, SC 29406-9236
(843) 572-7000
Mailing address
8053 SHADOW OAK DR, NORTH CHARLESTON, SC 29406-9576
(864) 770-5903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1451
SC
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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