Individual
NICOLE LYNN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
57 PORTLAND ROAD, SO BERWICK, ME 04090
(207) 384-9212
(207) 384-2008
Mailing address
853 N CHURCH ST STE 510, SPARTANBURG, SC 29303-3077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2464
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
03/31/2011
Last updated
10/18/2018
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