Individual
KRISTINA NICOLE CARSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406 46TH AVE N, MYRTLE BEACH, SC 29577-2732
(478) 397-0947
Mailing address
115 COBBLESTONE LN, WARNER ROBINS, GA 31088-8209
(843) 449-1438
(843) 286-1349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
85877
GA
208000000X
Pediatrics Physician
MD39717
SC
208000000X
Pediatrics Physician
ME116618
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009265300
—
FL
Enumeration date
05/05/2010
Last updated
08/12/2020
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