Individual
CHRISTINE CANIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 EPSON PLANTATION DR STE B, MONCKS CORNER, SC 29461-3979
(843) 792-1414
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20586
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205860
—
SC
Enumeration date
08/05/2006
Last updated
01/20/2023
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