Individual
MS. CARLY RAE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 FRONT ST STE 230, SUMMERVILLE, SC 29486-8140
(843) 569-1856
Mailing address
PO BOX 530062, 2ND FLOOR, ATLANTA, GA 30353-0062
(763) 348-2075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26857
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP9394
—
SC
Enumeration date
12/12/2022
Last updated
12/11/2025
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