Individual
MRS. LESLIE CHRISTINE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 527-9453
Mailing address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 527-9453
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1379
SC
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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