Graham, Carla Stahl
Graham, Carla Stahl is an individual health care provider with primary practice located at 10317 Ocean Highway Cvs Minute Clinic, Pawleys Island SC 29585. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Carla Stahl can be contacted via phone (843) 235-0267.Contact Information
Primary practice address
10317 Ocean Highway Cvs Minute Clinic
Pawleys Island SC 29585
Phone: (843) 235-0267
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F4188 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4188 | South Carolina |
Profile Details
NPI number | 1063738938 |
---|---|
LBN Legal business name | Graham, Carla Stahl |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2010 |
Last updated | Feb 14th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063738938 | NPPES |
South Carolina | MEDICAID | NP1621 | |
South Carolina | MEDICAID | 1621 |
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