Individual
CLYTAYA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
124 EDINBURGH CT STE 109, GREENVILLE, SC 29607-2542
(864) 412-5051
(864) 412-5051
Mailing address
124 EDINBURGH CT STE 109, GREENVILLE, SC 29607-2542
(864) 412-5051
(864) 412-5051
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2725030
SC
Other
Enumeration date
03/04/2021
Last updated
05/21/2021
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