Jorgensen, Carla Walker
Jorgensen, Carla Walker is an individual health care provider with primary practice located at 3 Butternut Dr Suite B, Greenville SC 29605-4655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Jorgensen, Carla Walker can be contacted via phone (864) 241-7272.Contact Information
Primary practice address
3 Butternut Dr Suite B
Greenville SC 29605-4655
Phone: (864) 241-7272
Fax: (864) 672-7852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 30860 | South Carolina |
Profile Details
| NPI number | 1841278512 |
|---|---|
| LBN Legal business name | Jorgensen, Carla Walker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | May 16th, 2023 - about 2 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 | 1841278512 | NPPES |
| South Carolina | MEDICAID | 308606 | |
| South Carolina | Other | P00988080 | |
| South Carolina | Other | AA2901 |
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