Individual
CARLOS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
1610 SUMMIT AVE, LANCASTER, SC 29720-3441
(803) 762-7347
Mailing address
1610 SUMMIT AVE, LANCASTER, SC 29720-3441
(803) 762-7347
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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