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Individual

CARSON BREWER MEDLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10630 CLEMSON BLVD STE 100, SENECA, SC 29678-4545
(864) 482-6000
(864) 482-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4497
SC
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
06/30/2022
Last updated
03/26/2024
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