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Contact Information

KEVIN W CARSON, MD
160 ACADEMY AVE
GREENWOOD, SC29646-3808
 Phone: 864-223-8090
 Fax: 864-223-4026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN W CARSON · (Male)

NPI Number 1609880715
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 03/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 049879
  • SC License # 18545
  • LA Medicaid 1460567
  • SC Medicaid 185454
  • SC Other GP5280 GROUP MEDICAID
  • SC Other 9337 GROUP MEDICARE
Hospital affiliation(s)
  • SELF REGIONAL HEALTHCARE - (Acute Care)
    1325 SPRING STREET
    GREENWOOD, SC 29646
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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