Judy, Carrie Anne

Judy, Carrie Anne is an individual health care provider with primary practice located at 308 W Wesmark Blvd , Sumter SC 29150-1977. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Judy, Carrie Anne can be contacted via phone (803) 773-5227.

Contact Information

Primary practice address
308 W Wesmark Blvd Sumter SC 29150-1977
Phone: (803) 773-5227
Fax: (803) 774-5400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C1-0007282 Delaware
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33283 South Carolina

Profile Details

NPI number 1932195559
LBN Legal business name Judy, Carrie Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 3rd, 2018 - about 6 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 1932195559 NPPES
South Carolina MEDICAID 332839

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