Individual
LAURA MOSBY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
890 W FARIS RD STE 470, GREENVILLE, SC 29605-4281
(864) 455-1600
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
52198
SC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
52198
SC
390200000X
Student in an Organized Health Care Education/Training Program
172762
NC
Other
Enumeration date
05/11/2011
Last updated
10/30/2019
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