Individual
GEORGIA CARLISLE ROANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2085 HENRY TECKLENBURG DR STE 320, CHARLESTON, SC 29414-7713
(843) 571-6067
(843) 769-4853
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200
(843) 402-5296
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15657
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156574
—
SC
Enumeration date
06/04/2006
Last updated
01/25/2025
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