Individual
DR. CARRIE ANNE JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 W WESMARK BLVD, SUMTER, SC 29150-1977
(803) 773-5227
(803) 774-5400
Mailing address
325 BROAD ST STE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 746-7445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33283
SC
207Q00000X
Family Medicine Physician
C1-0007282
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332839
—
SC
Enumeration date
09/20/2005
Last updated
04/03/2018
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