Clytaya Carson, RMA
Technician, Other in Greenville, SC. Individual provider (NPI-1).
NPI number1649865429
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1649865429
- Entity type
- Individual (NPI-1)
- Name
- Clytaya Carson
- Credential
- RMA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2021
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 2725030 | SC | Yes |
Practice location
124 Edinburgh Ct Ste 109Greenville, SC 29607-2542
Phone 864-412-5051 · Fax 864-412-5051
Mailing address
124 Edinburgh Ct Ste 109Greenville, SC 29607-2542
Phone 864-412-5051 · Fax 864-412-5051
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