Individual
STEVEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS CSB 210, MSC 323, CHARLESTON, SC 29425-0001
(843) 792-1767
Mailing address
96 JONATHAN LUCAS STREET CSB 210, MSC 323, CHARLESTON, SC 29425-0001
(843) 792-1767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1689427866
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2024
Last updated
06/09/2025
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