Individual
CHARLIE CARROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S CHURCH ST, SPARTANBURG, SC 29306-5231
(864) 582-5431
Mailing address
PO BOX 1869, SPARTANBURG, SC 29304-1869
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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