Individual
CARRIE D FUNKHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
851 LEONARD FULGHUM DR, STE 200, MOUNT PLEASANT, SC 29464-3793
(843) 856-3262
(843) 856-3262
Mailing address
851 LEONARD FULGHUM DR, STE 200, MOUNT PLEASANT, SC 29464-3793
(843) 856-3262
(843) 856-3262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25356
SC
207V00000X
Obstetrics & Gynecology Physician
ME96005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96005
LICENSE
FL
Enumeration date
07/16/2006
Last updated
01/03/2017
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