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Individual

DR. CAROL N PRYBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
139 LILA DOYLE DR, SENECA, SC 29672-9495
(864) 482-3483
(864) 482-3497
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046215
GA
207Q00000X
Family Medicine Physician
Primary
90939
SC
208M00000X
Hospitalist Physician
046215
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000808497AD
GA
05
G46215
SC
01
P00172236
RR MEDICARE
01
P01268617
RAILROAD MEDICARE
GA
Enumeration date
12/17/2005
Last updated
10/16/2023
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