Individual
GEOFFREY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
210 S BROAD ST, CLINTON, SC 29325-2505
(864) 833-0973
(864) 241-9290
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5248
SC
363AM0700X
Medical Physician Assistant
OA000359L
PA
Other
Enumeration date
06/13/2006
Last updated
07/09/2024
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