Individual
MICHAELEENA MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39098
SC
207P00000X
Emergency Medicine Physician
OS17056
FL
207Q00000X
Family Medicine Physician
OS17056
FL
Other
Enumeration date
07/01/2011
Last updated
11/20/2023
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