Individual
DR. LEE SMITH CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 W MAIN ST, GREENVILLE, SC 29611-4215
(864) 522-5220
(864) 522-5309
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(645) 228-6118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22975
SC
207NP0225X
Pediatric Dermatology Physician
22975
SC
207R00000X
Internal Medicine Physician
22975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8616
MEDICARE GROUP PIN FOR NE DERMATOLOGY
SC
05
—
T70900
—
SC
Enumeration date
03/08/2006
Last updated
10/10/2025
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