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Individual

HARRISON CARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7048
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2466
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2467PA
SC
01
SC74646067
MEDICARE PIN
SC
01
SC74647628
MEDICDARE PIN
SC
01
SC74648510
MEDICARE PIN
SC
01
SC74649068
MEDICARE PIN
SC
Enumeration date
12/04/2015
Last updated
01/17/2022
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