Individual
CARLA WALKER JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 BUTTERNUT DR, SUITE B, GREENVILLE, SC 29605-4655
(864) 241-7272
(864) 672-7852
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
30860
SC
207RX0202X
Medical Oncology Physician
Primary
30860
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308606
—
SC
01
—
AA2901
MEDICARE PTAN
SC
01
—
P00988080
RAILROAD MEDICARE
SC
Enumeration date
01/04/2006
Last updated
08/05/2025
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