Individual
JENNIFER SEXTON CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 220W, CHARLESTON, SC 29414-5740
(843) 571-6868
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
966
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005PA
—
SC
Enumeration date
06/30/2006
Last updated
01/03/2025
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