Individual
LISA LENORE RUPPERT CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3941 HIGHWAY 9, BOILING SPRINGS, SC 29316
(864) 560-3650
(864) 560-3675
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31781
SC
207Q00000X
Family Medicine Physician
LL31781
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317810
—
SC
01
—
AA90853365
MEDICARE PIN
SC
01
—
P01139030
RAILROAD MEDICARE
SC
Enumeration date
07/09/2009
Last updated
07/02/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us