Individual
STACY CHARLENE CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3795 EAST NORTH SUITE 14, GREENVILLE, SC 29617-3304
(864) 434-6141
Mailing address
204 CRANE AVE, GREENVILLE, SC 29617-3304
(864) 434-6141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53144
SC
225700000X
Massage Therapist
7700
SC
Other
Enumeration date
09/09/2013
Last updated
12/04/2024
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