Carlson, Kristi Toothman

Carlson, Kristi Toothman is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carlson, Kristi Toothman can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Phone: (864) 455-6900
Fax: (864) 255-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1046 South Carolina

Profile Details

NPI number 1265418297
LBN Legal business name Carlson, Kristi Toothman
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated May 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265418297 NPPES
South Carolina MEDICAID 0975PA

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