Individual
CARA NOELLE MONFORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COURTENAY DR, CHARLESTON, SC 29425-8911
(843) 792-2300
Mailing address
25 COURTENAY DR, CHARLESTON, SC 29425-8911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3962
SC
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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