Green, Carolyn Joy

Green, Carolyn Joy is an individual health care provider with primary practice located at 125 Professional Park Dr , Seneca SC 29678-2558. 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. Green, Carolyn Joy can be contacted via phone (864) 482-3000.

Contact Information

Primary practice address
125 Professional Park Dr Seneca SC 29678-2558
Phone: (864) 482-3000
Fax: (864) 482-4000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2012003986 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5094 South Carolina

Profile Details

NPI number 1972876738
LBN Legal business name Green, Carolyn Joy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Jan 23rd, 2024 - about last year

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 1972876738 NPPES
Missouri MEDICAID 1972876738

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