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Individual

LORI R CARNSEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Mailing address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20710
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124279872
NPI PALMETTO HEALTH-LIBERTY FAMILY CARE
01
1801028543
NPI-BAPTIST EASLEY HOSPITAL-LIBERTY FAMILY CARE
SC
05
207109
SC
05
GP5257
SC
01
H029249342
NPI-HOSPITALIST-EAGLE HOSPITALIST PHYSICIANS
SC
Enumeration date
05/03/2006
Last updated
03/29/2010
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