Individual
CAROLINE RUSSELL CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 855-0726
Mailing address
105 DARROWSBY PL, MADISON, MS 39110-7434
(601) 826-9792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10837
SC
Other
Enumeration date
06/17/2024
Last updated
07/03/2024
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