Individual
DR. CAROLINE J FELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 WOODRUFF RD STE 201, SIMPSONVILLE, SC 29681-4807
(864) 849-9466
(864) 849-9166
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
0101242358
VA
207VG0400X
Gynecology Physician
Primary
22916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229167
—
SC
05
—
5912608
—
NC
01
—
P00892914
RAILROAD MEDICARE
SC
Enumeration date
03/31/2006
Last updated
12/29/2020
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