Individual
MRS. CAROLINE GARRISON RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9740
(803) 365-8640
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2717PA
—
SC
Enumeration date
08/14/2011
Last updated
01/26/2022
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