Doctor Name: | CAROL ELIZABETH TODD |
NPI Number: | 1447378757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.,C.S.,F.N.P. |
License Number: | 3429 |
Business Practice Address: | 106 Parkview Dr Laurens, SC - 293602652 |
Business Phone Number: | 8649840571 |
Business Fax Number: | 8649843610 |
Mailing Address: | 1 Independence Pt, Ste. 212 GREENVILLE |
State: | SC |
Postal Code: | 296154545 |
Phone Number: | 8647976044 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3429 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |