Individual
DR. KEVIN WRIGHT CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
049879
GA
208600000X
Surgery Physician
Primary
18545
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460567
—
LA
05
—
185454
—
SC
01
—
9337
GROUP MEDICARE
SC
01
—
GP5280
GROUP MEDICAID
SC
Enumeration date
07/27/2006
Last updated
03/17/2014
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